Healthcare Provider Details

I. General information

NPI: 1528419157
Provider Name (Legal Business Name): MY BEST HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 06/17/2021
Certification Date: 06/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 BAY AVE STE 204E
CAPITOLA CA
95010-2100
US

IV. Provider business mailing address

2526 QUME DR STE 19
SAN JOSE CA
95131-1870
US

V. Phone/Fax

Practice location:
  • Phone: 408-934-9617
  • Fax: 408-934-9607
Mailing address:
  • Phone: 408-934-9617
  • Fax: 408-934-9607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number78598
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number78598
License Number StateCA

VIII. Authorized Official

Name: NHAN HUYNH NGUYEN
Title or Position: PRESIDENT
Credential:
Phone: 408-934-9617