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General NPI Number Information
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NPI Number | 1144223769
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Entity Type | Organization
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Legal Business Name | CARE ONE HOME HEALTH, INC
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 3380 FLAIR DR STE 221
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City | EL MONTE
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State | CA
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Zip | 91731-2825
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Country | US
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Telephone | 626-571-7100
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Fax | 626-571-7170
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Provider Business Mailing Address
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Address Line | 3380 FLAIR DR STE 221
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City | EL MONTE
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State | CA
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Zip | 91731-2825
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Country | US
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Telephone | 626-571-7100
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Fax | 626-571-7170
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JESUS N ONG
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Credential | RN
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Telephone | 626-571-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 058206
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License Number State | CA
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