Healthcare Provider Details

I. General information

NPI: 1689658049
Provider Name (Legal Business Name): CAREMAX HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8953 WOODMAN AVE # 102
ARLETA CA
91331-6457
US

IV. Provider business mailing address

8953 WOODMAN AVE # 102
ARLETA CA
91331-6491
US

V. Phone/Fax

Practice location:
  • Phone: 818-920-9255
  • Fax: 818-920-3190
Mailing address:
  • Phone: 818-920-9255
  • Fax: 818-920-3190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980001038
License Number StateCA

VIII. Authorized Official

Name: MRS. NIMFA SIMBULAN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 818-920-9255