=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669897831
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CALIDAD HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2014
-----------------------------------------------------
Last Update Date | 11/14/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1701 WESTWIND DR STE 214
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-3047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-505-1980
-----------------------------------------------------
Fax | 661-505-1980
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1701 WESTWIND DR STE 214
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-3047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-505-1980
-----------------------------------------------------
Fax | 661-505-1980
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | OVSEP GUOZALIAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 661-843-7771
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 132085
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------