Active NPI
Perpetual Ventures. LLC
- Home Health Agency
- Rancho Cucamonga, CA
National Provider Identifier
1952019036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PERPETUAL VENTURES. LLC
- Practice address
- 9213 Archibald Ave
Rancho Cucamonga, CA 91730-5207 - Phone
- (909) 476-9030
- Fax
- (909) 476-9130
- NPI assigned
- Nov 8, 2022
- Organization subpart
- Yes
- Parent organization
- HOME INSTEAD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandi Johnson
- Title
- Ceo/Owner
- Phone
- (909) 476-9030
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
9213 Archibald Ave
Rancho Cucamonga, CA 91730-5207
Mailing address
9213 Archibald Ave
Rancho Cucamonga, CA 91730-5207
Phone (909) 476-9030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364700002 | Other | CA | STATE LICENSE |
Other names 1
- Home Instead
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | changehealthcare.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Home Care for Heroes
- Part of
- Home Instead Senior Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Colorado Springs, CO
- NPI 1043829542
Locations
9213 Archibald Ave
Rancho Cucamonga, CA 91730
Phone (909) 476-9030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667865600000",
"number": "1952019036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9213 ARCHIBALD AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305207",
"telephone_number": "909-476-9030",
"fax_number": "909-476-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9213 ARCHIBALD AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305207",
"telephone_number": "909-476-9030",
"fax_number": "909-476-9130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERPETUAL VENTURES. LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOME INSTEAD",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "BRANDI",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "909-476-9030"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "364700002",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "changehealthcare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9213 Archibald Ave",
"city": "Rancho Cucamonga",
"state": "CA",
"country_code": "US",
"postal_code": "917305207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Home Instead",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 8, 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.