MEDICARE: ALL CARE HOME HEALTH PROVIDER

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	251G00000X	Community Based Hospice Care Agency		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	:	1588620835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CARE HOME HEALTH PROVIDER

Provider Business Mailing Address
First Line	:	100 W BROADWAY
Second Line	:	SUITE 810
City	:	GLENDALE
State	:	CA
Zip	:	91210-1242
Country	:	US
Telephone Number	:	818-241-9108
Fax Number	:	818-241-9123

Provider Business Practice Location Address
First Line	:	100 W BROADWAY
Second Line	:	SUITE 810
City	:	GLENDALE
State	:	CA
Zip	:	91210-1242
Country	:	US
Telephone Number	:	818-241-9108
Fax Number	:	818-241-9123

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LILIA SAYAS PAGSISIHAN
Credential	:
Telephone Number	:	818-241-9108

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	10/12/2007

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Directions to “ALL CARE HOME HEALTH PROVIDER ” Practice Location

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