Organization Active NPI

Calvary Senior Care

  • In Home Supportive Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1851069322
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CALVARY SENIOR CARE
Practice address
9650 Business Center Dr # 110
Rancho Cucamonga, CA 91730-4536
Phone
(909) 317-4749
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Tandy J Brown
Title
Care Coordinator
Phone
(909) 559-2305

Specialties & licenses 1

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

Addresses

Primary practice location

9650 Business Center Dr # 110
Rancho Cucamonga, CA 91730-4536

Mailing address

9650 Business Center Dr # 110
Rancho Cucamonga, CA 91730-4536
Phone (909) 317-4749

National Provider Directory

National Provider Directory

Locations

9650 Business Center Dr
#110
Rancho Cucamonga, CA 91730
Phone (909) 317-4749

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1851069322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 BUSINESS CENTER DR # 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304536",
            "telephone_number": "909-317-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 BUSINESS CENTER DR # 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304536",
            "telephone_number": "909-317-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "909-559-2305"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.