Healthcare Provider Details

I. General information

NPI: 1275089674
Provider Name (Legal Business Name): DAVIES HOME HEALTH CARE LLC, DBA SENIOR HELPERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 08/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7177 BROCKTON AVE SUITE 449
RIVERSIDE CA
92506-2631
US

IV. Provider business mailing address

7177 BROCKTON AVE SUITE 449
RIVERSIDE CA
92506-2631
US

V. Phone/Fax

Practice location:
  • Phone: 951-248-0543
  • Fax: 951-248-0561
Mailing address:
  • Phone: 951-248-0543
  • Fax: 951-248-0561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number334700068
License Number StateCA

VIII. Authorized Official

Name: CONSTANCE ANN GATES
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 951-248-0543