Provider Demographics
NPI:1205928439
Name:CNE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:CNE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:POBLETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-351-4263
Mailing Address - Street 1:10600 MAGNOLIA AVE STE G
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-1819
Mailing Address - Country:US
Mailing Address - Phone:951-351-4263
Mailing Address - Fax:951-351-1454
Practice Address - Street 1:10600 MAGNOLIA AVE STE G
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-1819
Practice Address - Country:US
Practice Address - Phone:951-351-4263
Practice Address - Fax:951-351-1454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250000806251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08297FMedicaid
CAHHA08297FMedicaid