Organization Active NPI

Agents of Healing Homecare LLC

  • In Home Supportive Care Agency
  • Rialto, CA
National Provider Identifier
1891413795
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AGENTS OF HEALING HOMECARE LLC
Practice address
277 Bloomington Ave Unit 219
Rialto, CA 92376-6494
Phone
(866) 414-6632
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Kenya Urainius Adams
Title
Ceo
Phone
(909) 539-5659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

277 Bloomington Ave Unit 219
Rialto, CA 92376-6494

Mailing address

PO Box 1145
San Bernardino, CA 92402-1145
Phone (866) 414-6632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1891413795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924021145",
            "telephone_number": "866-414-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 BLOOMINGTON AVE UNIT 219",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766494",
            "telephone_number": "866-414-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENTS OF HEALING HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "URAINIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-539-5659"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.