Organization Active NPI

Amethyst Home Care Inc.

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1831836626
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMETHYST HOME CARE INC.
Doing business as
Amethyst Home Care Inc.
Practice address
2139 Tapo St Ste 207a
Simi Valley, CA 93063-3476
Phone
(805) 842-9721
Fax
(805) 842-9722
NPI assigned
May 13, 2022
Last updated
May 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Rima Abdurashidova
Title
Ceo
Phone
(818) 294-6298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2139 Tapo St Ste 207a
Simi Valley, CA 93063-3476

Mailing address

2139 Tapo St Ste 207a
Simi Valley, CA 93063-3476
Phone (805) 842-9721

Other names 1

  • Amethyst Home Care Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2139 Tapo St
Ste 207A
Simi Valley, CA 93063
Phone (805) 842-9721

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1831836626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 207A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-842-9721",
            "fax_number": "805-842-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 207A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-842-9721",
            "fax_number": "805-842-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "ABDURASHIDOVA",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-294-6298"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amethyst Home Care Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.