NPIMap

Organization Active NPI

Emerald Corporation

  • Home Health Agency
  • Chino, CA
National Provider Identifier
1992126270
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
240000873 Issued in CA
Legal business name
EMERALD CORPORATION
Practice address
13791 Roswell Ave Ste E
Chino, CA 91710-5469
Phone
(909) 627-0408
Fax
(909) 628-4665
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Mrs. Loida F Fajayan, RN
Title
President
Phone
(909) 627-0408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 240000873 CA Primary

Addresses

Primary practice location

13791 Roswell Ave Ste E
Chino, CA 91710-5469

Mailing address

13791 Roswell Ave Ste E
Chino, CA 91710-5469
Phone (909) 627-0408

Other identifiers 1

IdentifierTypeStateIssuer
058288OtherCAMEDICARE PROVIDER NUMBER

Other names 1

  • ST. MARTIN HOME HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emerald Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1992126270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13791 ROSWELL AVE STE E",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105469",
            "telephone_number": "909-627-0408",
            "fax_number": "909-628-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13791 ROSWELL AVE STE E",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105469",
            "telephone_number": "909-627-0408",
            "fax_number": "909-628-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "FAJAYAN",
        "authorized_official_first_name": "LOIDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-627-0408",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "058288",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. MARTIN HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.