Organization Active NPI

Intelcare Home Health LLC

  • Home Health Agency
  • Montclair, CA
National Provider Identifier
1821785817
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTELCARE HOME HEALTH LLC
Practice address
4959 Palo Verde St Ste 103a
Montclair, CA 91763-2340
Phone
(626) 347-0862
NPI assigned
Apr 19, 2023
Last updated
Apr 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Maria Wina Gonzales, RN
Title
President
Phone
(626) 347-0862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4959 Palo Verde St Ste 103a
Montclair, CA 91763-2340

Mailing address

4959 Palo Verde St Ste 103a
Montclair, CA 91763-2340

National Provider Directory

National Provider Directory

Locations

4959 Palo Verde St
Ste 103A
Montclair, CA 91763
Phone (626) 347-0862

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1821785817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 103A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 103A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632340",
            "telephone_number": "626-347-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MARIA WINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-347-0862",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.