Organization Active NPI

Healthy Destinations Healthcare, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1891976056
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHY DESTINATIONS HEALTHCARE, INC.
Practice address
3410 N San Fernando Rd
Los Angeles, CA 90065-1442
Phone
(323) 369-1794
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Mr. Alberto Chua
Title
Manager
Phone
(323) 369-1794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3410 N San Fernando Rd
Los Angeles, CA 90065-1442

Mailing address

3410 N San Fernando Rd
Los Angeles, CA 90065-1442
Phone (323) 369-1794

National Provider Directory

National Provider Directory

Locations

3410 N San Fernando Rd
Los Angeles, CA 90065
Phone (323) 369-1794

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1891976056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651442",
            "telephone_number": "323-369-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651442",
            "telephone_number": "323-369-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY DESTINATIONS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-369-1794",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.