Eberhart Home Health Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EBERHART HOME HEALTH INC

Practice address

1225 Puerta del Sol
Ste 200
San Clemente, CA 92673-6322

Phone

(949) 367-1868

Fax

(949) 367-1818

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Catlin Eberhart, RCP RRT

Title

President Ceo

Phone

(949) 367-1868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1952368797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 PUERTA DEL SOL",
            "address_2": "STE 200",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736322",
            "telephone_number": "949-367-1868",
            "fax_number": "949-367-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 PUERTA DEL SOL",
            "address_2": "STE 200",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736322",
            "telephone_number": "949-367-1868",
            "fax_number": "949-367-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERHART HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "EBERHART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CATLIN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "949-367-1868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02704F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in San Clemente, CA
• Providers in San Clemente, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.