Provider Demographics
NPI:1144545526
Name:AMERICARE HOME HEALTH AGENCY
Entity type:Organization
Organization Name:AMERICARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JALALI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-478-2400
Mailing Address - Street 1:11850 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6609
Mailing Address - Country:US
Mailing Address - Phone:310-478-2400
Mailing Address - Fax:310-478-2403
Practice Address - Street 1:11850 WILSHIRE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6609
Practice Address - Country:US
Practice Address - Phone:310-478-2400
Practice Address - Fax:310-478-2403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health