Healthcare Provider Details

I. General information

NPI: 1942599170
Provider Name (Legal Business Name): YOUR HOME NURSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3188 JEFFERSON ST
NAPA CA
94558-4924
US

IV. Provider business mailing address

3188 JEFFERSON ST
NAPA CA
94558-4924
US

V. Phone/Fax

Practice location:
  • Phone: 707-224-7780
  • Fax: 707-224-7194
Mailing address:
  • Phone: 707-224-7780
  • Fax: 707-224-7194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010000218
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number010000218
License Number StateCA

VIII. Authorized Official

Name: CAMIE BIANCHI
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 707-224-7780