Organization Active NPI

Gardenia Home Health, Inc.

  • Community Based Hospice Care Agency
  • San Bernardino, CA
National Provider Identifier
1851068381
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GARDENIA HOME HEALTH, INC.
Practice address
435 Orange Show LN Ste 102
San Bernardino, CA 92408-2015
Phone
(909) 686-1720
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Alina Gevorgyan
Title
Ceo
Phone
(909) 686-1720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

435 Orange Show LN Ste 102
San Bernardino, CA 92408-2015

Mailing address

435 Orange Show LN Ste 102
San Bernardino, CA 92408-2015
Phone (909) 686-1720

National Provider Directory

National Provider Directory

Locations

435 Orange Show Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 686-1720

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1851068381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ORANGE SHOW LN STE 102",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082015",
            "telephone_number": "909-686-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ORANGE SHOW LN STE 102",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082015",
            "telephone_number": "909-686-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENIA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-686-1720"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.