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HOLY HILL HOME CARE EAST NPI 1487976577


NPI Information

NPI: 1487976577
Provider Name: HOLY HILL HOME CARE EAST
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
34034 NEBRASKA LN
YUCAIPA, CA
ZIP 92399
Phone: (909) 446-1148
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HOLY HILL HOME CARE EAST is a custodial care facility in Yucaipa, CA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. HOLY HILL HOME CARE EAST NPI is 1487976577. The provider is registered as an organization entity type.

The provider's business location address is:

34034 NEBRASKA LN
YUCAIPA, CA
ZIP 92399-334
Phone: (909) 446-1148
Fax: (909) 363-8237

The provider's authorized official is Nick Puraci .
The authorized official title is Business Administrator and has the following contact phone number (909) 806-9797.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care FacilityCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11MEDICAIDCALIFORNIA

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: 4/28/2024

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