Ancestral Home Health Care Providers, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001129 Issued in CA

Legal business name

ANCESTRAL HOME HEALTH CARE PROVIDERS, INC.

Practice address

15335 Morrison St Ste 218
Sherman Oaks, CA 91403-1599

Phone

(818) 789-5888

Fax

(818) 789-0561

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Ma Theresita Macaranas Benitez

Title

Office Manager

Phone

(818) 789-5888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1871917567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST STE 218",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST STE 218",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031599",
            "telephone_number": "818-789-5888",
            "fax_number": "818-789-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCESTRAL HOME HEALTH CARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "MA THERESITA",
        "authorized_official_middle_name": "MACARANAS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-789-5888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.