Private Duty Homecare Group LLP

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIVATE DUTY HOMECARE GROUP LLP

Practice address

11101 Torbay Dr
Bakersfield, CA 93311-2921

Phone

(305) 733-1219

Fax

(661) 412-8288

NPI assigned

Mar 15, 2021

Last updated

Mar 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Johnson, RN

Title

Director

Phone

(305) 733-1219

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1861077513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21463",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901463",
            "telephone_number": "305-733-1219",
            "fax_number": "661-412-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 TORBAY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933112921",
            "telephone_number": "305-733-1219",
            "fax_number": "661-412-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DUTY HOMECARE GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-733-1219",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bakersfield",
            "affiliation": "N",
            "endpointDescription": "Home Healthcare agency",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Bakersfield",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bakersfield",
            "address_1": "11101 Torbay Dr",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933112921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Bakersfield, CA
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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.