Healthcare Provider Details

I. General information

NPI: 1528222429
Provider Name (Legal Business Name): SR HOMECARE OF CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 IRVINE CENTER DR
IRVINE CA
92618-2932
US

IV. Provider business mailing address

1115 OCEAN PKWY LEVEL C
BROOKLYN NY
11230-4073
US

V. Phone/Fax

Practice location:
  • Phone: 718-338-6300
  • Fax: 718-252-4950
Mailing address:
  • Phone: 718-338-6300
  • Fax: 718-252-4950

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: SUSANNA RABINOVICH
Title or Position: PRESIDENT
Credential:
Phone: 718-338-6300