Healthcare Provider Details

I. General information

NPI: 1275630550
Provider Name (Legal Business Name): CONTINENTAL HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45180 CLUB DR
INDIAN WELLS CA
92210-8806
US

IV. Provider business mailing address

320 W CERRITOS AVE
GLENDALE CA
91204-2704
US

V. Phone/Fax

Practice location:
  • Phone: 760-345-2537
  • Fax: 760-772-3912
Mailing address:
  • Phone: 818-242-4171
  • Fax: 818-291-0446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberNOT REQUIRED
License Number State

VIII. Authorized Official

Name: MR. ROBERT THORNTON
Title or Position: PRESIDENT
Credential:
Phone: 818-242-4171