Healthcare Provider Details

I. General information

NPI: 1376881201
Provider Name (Legal Business Name): NATIONAL HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 01/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 FRANKLIN ST FL 26
BOSTON MA
02110-2853
US

IV. Provider business mailing address

2880 ZANKER RD STE 101
SAN JOSE CA
95134-2121
US

V. Phone/Fax

Practice location:
  • Phone: 978-222-3134
  • Fax:
Mailing address:
  • Phone: 408-786-1035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEX RUDAKOV
Title or Position: PRESIDENT
Credential:
Phone: 408-786-1035