=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205982550
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SATURN HOME CARE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/26/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 556 N DIAMOND BAR BLVD STE 105
-----------------------------------------------------
City | DIAMOND BAR
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91765-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-860-1300
-----------------------------------------------------
Fax | 909-860-6900
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 556 N DIAMOND BAR BLVD STE 105
-----------------------------------------------------
City | DIAMOND BAR
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91765-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-860-1300
-----------------------------------------------------
Fax | 909-860-6900
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OPERATION OFFICER
-----------------------------------------------------
Name | MR. CASTRENSE A RUIZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 909-860-1300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------