MEDICARE: COMPREHENSIVE HOME HEALTH CARE INC OF SAN DIEGO

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

General Provider Information

NPI Number	:	1780006114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HOME HEALTH CARE INC OF SAN DIEGO

Provider Business Mailing Address
First Line	:	14769 INTERLACHEN TER
Second Line	:
City	:	VALLEY CENTER
State	:	CA
Zip	:	92082-6673
Country	:	US
Telephone Number	:	818-606-6536
Fax Number	:

Provider Business Practice Location Address
First Line	:	14769 INTERLACHEN TER
Second Line	:
City	:	VALLEY CENTER
State	:	CA
Zip	:	92082-6673
Country	:	US
Telephone Number	:	818-606-6536
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MISS GRACE PAULINO
Credential	:
Telephone Number	:	818-606-6536

Provider Enumeration Date	:	01/21/2014
Last Update Date	:	01/21/2014

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