Organization Active NPI

South Bay Dependable Home Caregivers

  • In Home Supportive Care Agency
  • Carson, CA
National Provider Identifier
1831475458
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
72015A Issued in CA
Legal business name
SOUTH BAY DEPENDABLE HOME CAREGIVERS
Practice address
21512 Main St Unit 1
Carson, CA 90745-2008
Phone
(310) 816-9774
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Sonny Rojas
Title
Administrator
Phone
(424) 240-6035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 72015A CA Primary

Addresses

Primary practice location

21512 Main St Unit 1
Carson, CA 90745-2008

Mailing address

21512 Main St Unit 1
Carson, CA 90745-2008
Phone (310) 816-9774

National Provider Directory

National Provider Directory

Locations

21512 Main St
Unit 1
Carson, CA 90745
Phone (310) 816-9774

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1831475458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21512 MAIN ST UNIT 1",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452008",
            "telephone_number": "310-816-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21512 MAIN ST UNIT 1",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452008",
            "telephone_number": "310-816-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY DEPENDABLE HOME CAREGIVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "424-240-6035"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "72015A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.