Healthcare Provider Details

I. General information

NPI: 1790280444
Provider Name (Legal Business Name): COMBINED HEALTHCARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 03/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E VINE ST
REDLANDS CA
92373-4759
US

IV. Provider business mailing address

125 E VINE ST
REDLANDS CA
92373-4759
US

V. Phone/Fax

Practice location:
  • Phone: 310-623-0923
  • Fax:
Mailing address:
  • Phone: 310-623-0923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA SHAH
Title or Position: VICE PRESIDENT
Credential: RN
Phone: 310-623-0923