Organization Active NPI

Home Health Mastercare Inc

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1902482284
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH MASTERCARE INC
Practice address
9007 Arrow Rte Ste 215
Rancho Cucamonga, CA 91730-4461
Phone
(806) 773-2962
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Rouselle Banadera
Title
Owner
Phone
(909) 476-3671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9007 Arrow Rte Ste 215
Rancho Cucamonga, CA 91730-4461

Mailing address

9007 Arrow Rte Ste 215
Rancho Cucamonga, CA 91730-4461
Phone (806) 773-2962

National Provider Directory

National Provider Directory

Locations

9007 Arrow Rte
Ste 215
Rancho Cucamonga, CA 91730
Phone (806) 773-2962

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1902482284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 ARROW RTE STE 215",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304461",
            "telephone_number": "806-773-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 ARROW RTE STE 215",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304461",
            "telephone_number": "806-773-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH MASTERCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "BANADERA",
        "authorized_official_first_name": "ROUSELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-476-3671"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.