Healthcare Provider Details

I. General information

NPI: 1861835936
Provider Name (Legal Business Name): COMPREHENSIVE HOME HEALTH CARE & HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 GEORGIA ST 210
VALLEJO CA
94590-5964
US

IV. Provider business mailing address

312 GEORGIA ST 210
VALLEJO CA
94590-5964
US

V. Phone/Fax

Practice location:
  • Phone: 707-554-4003
  • Fax: 707-554-4043
Mailing address:
  • Phone: 707-554-4003
  • Fax: 707-554-4043

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: MUZAFFAR HUSSAIN
Title or Position: PRESIDENT
Credential:
Phone: 510-789-8125