Provider Demographics
NPI:1982353983
Name:INSTACARE HOMEHEALTH LLC
Entity type:Organization
Organization Name:INSTACARE HOMEHEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BWOGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-855-0377
Mailing Address - Street 1:415 N CAMDEN DR STE 111
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4436
Mailing Address - Country:US
Mailing Address - Phone:661-441-9975
Mailing Address - Fax:
Practice Address - Street 1:344 E LAGO LINDO RD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-9365
Practice Address - Country:US
Practice Address - Phone:661-441-9975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health