Healthcare Provider Details

I. General information

NPI: 1316197825
Provider Name (Legal Business Name): NAPTIME HOMECARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2008
Last Update Date: 09/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 W CENTRAL AVE STE B
BREA CA
92821-3041
US

IV. Provider business mailing address

910 S GRAND AVE
GLENDORA CA
91740-4808
US

V. Phone/Fax

Practice location:
  • Phone: 714-672-1233
  • Fax: 714-672-1251
Mailing address:
  • Phone: 626-857-9400
  • Fax: 626-857-9403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number43182
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number43182
License Number StateCA

VIII. Authorized Official

Name: MARK P HICKS
Title or Position: OWNER
Credential: BS, RRS, RCP
Phone: 626-857-9400