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DE PORRES HEALTHCARE CORPORATION NPI 1376977462


NPI Information

NPI: 1376977462
Provider Name: DE PORRES HEALTHCARE CORPORATION

Doing Business As: DE PORRES HOME HEALTHCARE SERVICES

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 05D2099514

Address:
1130 N EL DORADO ST
STOCKTON, CA
ZIP 95202
Phone: (209) 981-6568
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DE PORRES HEALTHCARE CORPORATION is a home health in Stockton, CA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. DE PORRES HEALTHCARE CORPORATION NPI is 1376977462. The provider is registered as an organization entity type.
The provider Is Doing Business As De Porres Home Healthcare Services.

The provider's business location address is:

1130 N EL DORADO ST
STOCKTON, CA
ZIP 95202-332
Phone: (209) 981-6568
Fax: (209) 937-6408

The provider's authorized official is Elvira D Miller .
The authorized official title is President and has the following contact phone number (209) 981-6568.

The CLIA number assigned to this NPI record is 05D2099514 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 8/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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