MEDICARE: COMCARE HOME HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	980000798	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003872862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMCARE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	100 W BROADWAY STE 800
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91210-1238
Country	:	US
Telephone Number	:	818-952-5164
Fax Number	:	818-952-5621

Provider Business Practice Location Address
First Line	:	100 W BROADWAY STE 800
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91210-1238
Country	:	US
Telephone Number	:	818-952-5164
Fax Number	:	818-952-5621

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LILIA SAYAS PAGSISIHAN
Credential	:
Telephone Number	:	818-952-5164

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	06/10/2024

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