Organization Active NPI

Grapevine Homecare Inc

  • Home Health Agency
  • Carson, CA
National Provider Identifier
1942476031
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRAPEVINE HOMECARE INC
Practice address
1007 E Dominguez St Ste P
Carson, CA 90746-7244
Phone
(213) 389-8200
Fax
(213) 389-8201
NPI assigned
May 8, 2008
Last updated
Dec 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Vilma G Afante
Title
Coo
Phone
(213) 389-8200

Specialties & licenses 1

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

Addresses

Primary practice location

1007 E Dominguez St Ste P
Carson, CA 90746-7244

Mailing address

10523 Burbank Blvd Ste 215
North Hollywood, CA 91601-2239
Phone (818) 985-0888

National Provider Directory

National Provider Directory

Locations

1007 E Dominguez St
Ste P
Carson, CA 90746
Phone (213) 389-8200

4032 Wilshire Blvd
Ste 404
Los Angeles, CA 90010
Phone (213) 389-8200

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1942476031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD STE 215",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012239",
            "telephone_number": "818-985-0888",
            "fax_number": "818-985-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E DOMINGUEZ ST STE P",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907467244",
            "telephone_number": "213-389-8200",
            "fax_number": "213-389-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "AFANTE",
        "authorized_official_first_name": "VILMA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "213-389-8200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.