NEW HOPE PHYSICIAN HOME CARE SERVICES INC. , NPI 1871691345 — RIALTO (CA)

NPI 1871691345

13+ Years Experience Organization

NEW HOPE PHYSICIAN HOME CARE SERVICES INC.

09/20/2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1871691345
NPI NUMBER

About NEW HOPE PHYSICIAN HOME CARE SERVICES INC.

NEW HOPE PHYSICIAN HOME CARE SERVICES INC. is a provider established in RIALTO, CA. The NPI number of NEW HOPE PHYSICIAN HOME CARE SERVICES INC. is 1871691345 and was assigned on 09/20/2006. The practitioners primary taxonomy code is: 208D00000X .

Mailing address

  • City: RIALTO
  • State: CA
  • Postal code: 923768059
  • Phone: 9094219576
  • Fax: 9094210711
  • Address: 1786 N RIVERSIDE AVE
  • Address 2: STE#1

Primary Practice Address

  • Region : RIALTO, CA
  • NPI : 1871691345
  • Phone : 9094219576
  • Fax : 9094210711
  • Postalcode : 923768059
  • Address : 1786 N RIVERSIDE AVE STE#1

Provider taxonomy - General Practice

  • Taxonomy code: 208D00000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy group: 193200000X MULTI-SPECIALTY GROUP.

Contacts:

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  • NEW HOPE PHYSICIAN HOME CARE SERVICES INC.
  • Address : 1786 N RIVERSIDE AVE STE#1
  • Region : RIALTO, CA
  • NPI : 1871691345
  • Phone : 9094219576
  • Fax : 9094210711
  • Postalcode : 923768059

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 9094219576
  • Title or position : OWNER
  • Credentials : D.O.

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1786 N RIVERSIDE AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSTE#1
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameRIALTO
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code923768059
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9094219576
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number9094210711
The fax number associated with the location address of the provider being identified.
NPI1871691345
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1208D00000X
Provider Enumeration Date09/20/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)NEW HOPE PHYSICIAN HOME CARE SERVICES INC.
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1786 N RIVERSIDE AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressSTE#1
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameRIALTO
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code923768059
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9094219576
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number9094210711
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameBALLAINE
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameDOUGLAS
The first name of the authorized official
Authorized Official Middle NameGERALD
The middle name of the authorized official
Authorized Official Title or PositionOWNER
The title or position of the authorized official
Authorized Official Name Prefix TextDR.
Authorized Official Name Prefix Text
Authorized Official Credential TextD.O.
Authorized Official Credential Text
Authorized Official Telephone Number9094219576
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1208D00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1General Practice
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
X

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