Provider Demographics
NPI:1578114674
Name:HOME PERSONAL AIDE REFERRAL REGISTRY LLC
Entity Type:Organization
Organization Name:HOME PERSONAL AIDE REFERRAL REGISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-536-3318
Mailing Address - Street 1:12189 7TH ST STE 108
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-2233
Mailing Address - Country:US
Mailing Address - Phone:951-536-3318
Mailing Address - Fax:
Practice Address - Street 1:12189 7TH ST STE 108
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-2233
Practice Address - Country:US
Practice Address - Phone:951-536-3318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No282N00000XHospitalsGeneral Acute Care Hospital
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
171012097OtherINSURANCE ACCEPTED