Amada Home Care Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AMADA HOME CARE INC.

Practice address

575 Anton Blvd
Suite 300
Costa Mesa, CA 92626-7169

Phone

(714) 557-5577

Fax

(714) 557-5578

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Chad Bradshaw Fotheringham

Title

President

Phone

(714) 557-5577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1962641233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ANTON BLVD",
            "address_2": "SUITE 300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267169",
            "telephone_number": "714-557-5577",
            "fax_number": "714-557-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ANTON BLVD",
            "address_2": "SUITE 300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267169",
            "telephone_number": "714-557-5577",
            "fax_number": "714-557-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADA HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "FOTHERINGHAM",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "BRADSHAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-557-5577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.