=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750754909
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ATTENTIVE HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2015
-----------------------------------------------------
Last Update Date | 11/10/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2020 N BROADWAY SUITE 200
-----------------------------------------------------
City | SANTA ANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92706-2622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-516-9200
-----------------------------------------------------
Fax | 714-245-0347
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2020 N BROADWAY SUITE 300
-----------------------------------------------------
City | SANTA ANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92706-2622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-516-9200
-----------------------------------------------------
Fax | 714-245-0347
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | MR. RICHARD DAVIS
-----------------------------------------------------
Credential | BS
-----------------------------------------------------
Telephone | 714-516-9200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------