MEDICARE: CONTINENTAL HOMECARE, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	NOT REQUIRED

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	:	1265539548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINENTAL HOMECARE, INC.

Provider Business Mailing Address
First Line	:	320 W CERRITOS AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-2704
Country	:	US
Telephone Number	:	818-242-4171
Fax Number	:	818-291-0446

Provider Business Practice Location Address
First Line	:	5225 S VALLEY VIEW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1602
Country	:	US
Telephone Number	:	702-367-0737
Fax Number	:	702-367-2061

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT THORNTON
Credential	:
Telephone Number	:	818-242-4171

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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Directions to “CONTINENTAL HOMECARE, INC. ” Practice Location

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