Active NPI
Calvary Senior Care
- In Home Supportive Care Agency
- Rancho Cucamonga, CA
National Provider Identifier
1851069322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.