Healthcare Provider Details

I. General information

NPI: 1932147378
Provider Name (Legal Business Name): ALEXUS HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 LONG BEACH BLVD. SUITE 221
LONG BEACH CA
90807-2617
US

IV. Provider business mailing address

4000 LONG BEACH BLVD. SUITE 221
LONG BEACH CA
90807-2617
US

V. Phone/Fax

Practice location:
  • Phone: 562-637-3113
  • Fax: 562-637-3115
Mailing address:
  • Phone: 562-637-3113
  • Fax: 562-637-3115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980000871
License Number StateCA

VIII. Authorized Official

Name: MR. REYNALDO G. SANTOS
Title or Position: PRESIDENT
Credential:
Phone: 562-637-3113