Organization Active NPI

Perpetual Ventures. LLC

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1952019036
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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 INSTEADAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
364700002OtherCASTATE LICENSE

Other names 1

  • Home Instead Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL changehealthcare.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Home Care for Heroes2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.