Provider Demographics
NPI:1528251220
Name:HOME HEALTH CARE PROVIDER, INC
Entity type:Organization
Organization Name:HOME HEALTH CARE PROVIDER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONRADO
Authorized Official - Middle Name:VINOYA
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-937-5827
Mailing Address - Street 1:1425 RANCH CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2472
Mailing Address - Country:US
Mailing Address - Phone:408-937-5827
Mailing Address - Fax:408-923-1186
Practice Address - Street 1:1425 RANCH CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2472
Practice Address - Country:US
Practice Address - Phone:408-937-5827
Practice Address - Fax:408-923-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-25
Last Update Date:2007-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA224522251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health