=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235376872
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SYNERGY HEALTH COMPANIES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2009
-----------------------------------------------------
Last Update Date | 09/24/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1521 N CARPENTER RD SUITE D-1
-----------------------------------------------------
City | MODESTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95351-1147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-577-4625
-----------------------------------------------------
Fax | 209-544-8895
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1521 N CARPENTER RD SUITE D-1
-----------------------------------------------------
City | MODESTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95351-1147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-577-4625
-----------------------------------------------------
Fax | 209-544-8895
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | RON MURPHY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 209-577-4625
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------