Organization Active NPI

Alix Home Care

  • Preferred Provider Organization
  • Victorville, CA
National Provider Identifier
1881020394
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ALIX HOME CARE
Practice address
16170 Pebble Beach Dr
Apt 65
Victorville, CA 92395-4491
Phone
(424) 212-2895
Fax
(424) 245-6916
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Ms. Simone Saltus
Title
HHA
Phone
(424) 212-2895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

16170 Pebble Beach Dr
Apt 65
Victorville, CA 92395-4491

Mailing address

16170 Pebble Beach Dr
Apt 65
Victorville, CA 92395-4491
Phone (424) 212-2895

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1881020394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 PEBBLE BEACH DR",
            "address_2": "APT 65",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954491",
            "telephone_number": "424-212-2895",
            "fax_number": "424-245-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 PEBBLE BEACH DR",
            "address_2": "APT 65",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954491",
            "telephone_number": "424-212-2895",
            "fax_number": "424-245-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIX HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "SALTUS",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "HHA",
        "authorized_official_telephone_number": "424-212-2895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.