Organization Active NPI

Asemota Corporation

Doing business as Miracle Home Health Agency

  • Home Health Agency
  • Montclair, CA
National Provider Identifier
1922304807
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASEMOTA CORPORATION
Doing business as
Miracle Home Health Agency
Practice address
4959 Palo Verde St
Suite 206B
Montclair, CA 91763-2331
Phone
(909) 991-7977
NPI assigned
Feb 10, 2011
Last updated
Aug 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Mr. Victor Asemota
Title
President
Phone
(909) 991-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4959 Palo Verde St
Suite 206B
Montclair, CA 91763-2331

Mailing address

4959 Palo Verde St
Suite 206B
Montclair, CA 91763-2331
Phone (909) 991-7977

Other names 1

  • MIRACLE HOME HEALTH AGENCY Doing business as

National Provider Directory

National Provider Directory

Locations

4959 Palo Verde St
Ste 206B
Montclair, CA 91763
Phone (909) 991-7977

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1922304807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "SUITE 206B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-991-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "SUITE 206B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-991-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASEMOTA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "ASEMOTA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-991-7977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE HOME HEALTH AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.