Healthcare Provider Details

I. General information

NPI: 1215085394
Provider Name (Legal Business Name): SELF-HELP FOR THE ELDERLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 SANSOME ST #100
SAN FRANCISCO CA
94111-1725
US

IV. Provider business mailing address

731 SANSOME ST #100
SAN FRANCISCO CA
94111-1725
US

V. Phone/Fax

Practice location:
  • Phone: 415-677-7628
  • Fax: 415-398-5903
Mailing address:
  • Phone: 415-677-7628
  • Fax: 415-398-5903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number220000141
License Number StateCA

VIII. Authorized Official

Name: MS. ANNI CHUNG
Title or Position: CEO & PRESIDENT
Credential:
Phone: 415-677-7628