Professional Health Care Provider

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001445 Issued in CA

Legal business name

PROFESSIONAL HEALTH CARE PROVIDER

Practice address

406 S Prospectors Rd
Diamond Bar, CA 91765-1659

Phone

(909) 860-3080

Fax

(909) 860-3008

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Rosita Cruz Ford, RN

Title

Administrator

Phone

(909) 860-3080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1881985232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S PROSPECTORS RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651659",
            "telephone_number": "909-860-3080",
            "fax_number": "909-860-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S PROSPECTORS RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651659",
            "telephone_number": "909-860-3080",
            "fax_number": "909-860-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CARE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-860-3080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Diamond Bar, 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 Apr 20, 2011; 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.