A1 Quality Homecare Provider, Inc,

Primary specialty

ContractorTaxonomy code 171W00000X

License

03349 Issued in CA

Legal business name

A1 QUALITY HOMECARE PROVIDER, INC,

Practice address

1710 Desert Almond Way
Beaumont, CA 92223-8611

Phone

(951) 845-8038

Fax

(951) 848-6288

NPI assigned

Feb 16, 2007

Last updated

Jun 13, 2008By 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

Miss Janet Secades Nicholas

Title

President

Phone

(951) 845-8038

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1861536518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DESERT ALMOND WAY",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238611",
            "telephone_number": "951-845-8038",
            "fax_number": "951-848-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DESERT ALMOND WAY",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238611",
            "telephone_number": "951-845-8038",
            "fax_number": "951-848-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 QUALITY HOMECARE PROVIDER, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "SECADES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-845-8038",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "03349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.