=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366885121
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RIGHT NOW HOME HEALTH CARE AGENCY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2013
-----------------------------------------------------
Last Update Date | 04/11/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6641 CRENSHAW BLVD SUITE B
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90043-4163
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-409-0327
-----------------------------------------------------
Fax | 866-722-6503
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 432215
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90043-9715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-409-0327
-----------------------------------------------------
Fax | 866-722-6503
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ADMINISTRATOR
-----------------------------------------------------
Name | MRS. MINNIE E WHITEHEAD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 760-409-0327
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 201230510135
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------