Healthcare Provider Details

I. General information

NPI: 1982949053
Provider Name (Legal Business Name): ASSIST ON CALL PROFESSIONAL IN-HOME CARE SERVICES, INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2012
Last Update Date: 11/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 MONUMENT BLVD SUITE 14
PLEASANT HILL CA
94523-3489
US

IV. Provider business mailing address

2100 MONUMENT BLVD SUITE 14
PLEASANT HILL CA
94523-3489
US

V. Phone/Fax

Practice location:
  • Phone: 925-969-7634
  • Fax:
Mailing address:
  • Phone: 925-969-7634
  • Fax:

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: MS. TERRY CRUZ
Title or Position: PRESIDENT & CEO
Credential:
Phone: 925-969-7634