Healthcare Provider Details

I. General information

NPI: 1164472767
Provider Name (Legal Business Name): 81 HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14442 WHITTIER BLVD #101
WHITTIER CA
90605-2107
US

IV. Provider business mailing address

14442 WHITTIER BLVD #101
WHITTIER CA
90605-2107
US

V. Phone/Fax

Practice location:
  • Phone: 562-320-0456
  • Fax: 562-320-0457
Mailing address:
  • Phone: 562-320-0456
  • Fax: 562-320-0457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateCA

VIII. Authorized Official

Name: MAXIMINO M LOPEZ JR.
Title or Position: CFO
Credential:
Phone: 562-320-0456