Healthcare Provider Details

I. General information

NPI: 1679840771
Provider Name (Legal Business Name): HEBREWS HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2011
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21407 MARTIN STREET
CARSON CA
90745-1726
US

IV. Provider business mailing address

8816 S WESTERN AVE
LOS ANGELES CA
90047-3328
US

V. Phone/Fax

Practice location:
  • Phone: 323-595-7401
  • Fax: 323-750-3346
Mailing address:
  • Phone: 323-595-7401
  • Fax: 323-750-3346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KALYAN OYEYEMI
Title or Position: OWNER
Credential: RN
Phone: 323-595-7401