=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174043095
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HB WORLDWIDE ENTERPRISES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/21/2017
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17195 NEWHOPE ST SUITE 201
-----------------------------------------------------
City | FOUNTAIN VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-593-1177
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17195 NEWHOPE ST STE 201
-----------------------------------------------------
City | FOUNTAIN VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92708-4211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-593-1177
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. HITEN ADHVARYU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 714-593-1177
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | 304700203
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------