Inland Wellness Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INLAND WELLNESS HEALTH CARE, INC.

Practice address

869 E Foothill Blvd
Suite I-B
Upland, CA 91786-4011

Phone

(909) 579-0077

Fax

(909) 579-0770

NPI assigned

Oct 4, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hakob Babajanyan

Title

Ceo

Phone

(909) 579-0077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059552

Legal name

INLAND WELLNESS HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 3, 2013

Last certification

Apr 10, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 24, 2011 in CA

Enrollment address

869E Foothill Blvd B
Upland, CA 91786-4011
HHA Branch

Listed as

Inland Wellness Health Care IncCCN 059552

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Sep 3, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1821372202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD",
            "address_2": "SUITE I-B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864011",
            "telephone_number": "909-579-0077",
            "fax_number": "909-579-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD",
            "address_2": "SUITE I-B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864011",
            "telephone_number": "909-579-0077",
            "fax_number": "909-579-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND WELLNESS HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "BABAJANYAN",
        "authorized_official_first_name": "HAKOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-579-0077"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert S Iqal

• Home Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.