Provider Demographics
NPI:1144675869
Name:AIC HEALTH CARE INC.
Entity type:Organization
Organization Name:AIC HEALTH CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT CARE SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MARANAN
Authorized Official - Last Name:MACATANGAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-378-5167
Mailing Address - Street 1:4049 FIRST ST STE 229
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-5363
Mailing Address - Country:US
Mailing Address - Phone:925-215-1890
Mailing Address - Fax:
Practice Address - Street 1:4049 FIRST ST STE 229
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551
Practice Address - Country:US
Practice Address - Phone:925-215-1890
Practice Address - Fax:925-271-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550004316251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health