Decarmo Wholesale LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DECARMO WHOLESALE LLC

Doing business as

Traveling Companions

Practice address

1281 N State St Unit A569
San Jacinto, CA 92583-6313

Phone

(909) 371-9834

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By 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

Jonathan Crowell

Title

Owner

Phone

(909) 371-9834

Specialties & licenses 2

Addresses

Other names 1

• TRAVELING COMPANIONS Doing business as

Locations

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1871360594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 N STATE ST UNIT 569",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836313",
            "telephone_number": "909-371-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 N STATE ST UNIT A569",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836313",
            "telephone_number": "909-371-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECARMO WHOLESALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-371-9834"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRAVELING COMPANIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Philip John Delaney

• Home Health Agency in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.