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NPI Code Detail

MEDICARE: SERV HOME HEALTH, INC.

MEDICARE: SERV 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
1251E00000XHome Health Agency550000403CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1550000403OTHERCADHS LICENSE

General Provider Information

NPI Number : 1326223553
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERV HOME HEALTH, INC.
Provider Business Mailing Address
First Line : 11501 DUBLIN BLVD
Second Line : SUITE 200
City : DUBLIN
State : CA
Zip : 94568-2826
Country : US
Telephone Number : 925-558-2715
Fax Number : 925-558-2716
Provider Business Practice Location Address
First Line : 11501 DUBLIN BLVD
Second Line : SUITE 200
City : DUBLIN
State : CA
Zip : 94568-2826
Country : US
Telephone Number : 925-558-2715
Fax Number : 925-558-2716
Authorized Official
Title or Position : PRESIDENT
Name : MRS. CARIDAD CORPUS
Credential :
Telephone Number : 925-558-2715
Provider Enumeration Date : 01/07/2008
Last Update Date : 10/27/2010

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