Provider Demographics
NPI:1003199357
Name:FOUNDING FATHERS HEALTH CARE, INC.
Entity Type:Organization
Organization Name:FOUNDING FATHERS HEALTH CARE, INC.
Other - Org Name:FOUNDING FATHERS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-808-7215
Mailing Address - Street 1:1307 W 6TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-1644
Mailing Address - Country:US
Mailing Address - Phone:800-792-9434
Mailing Address - Fax:800-401-6980
Practice Address - Street 1:1307 W 6TH ST STE 201
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-1644
Practice Address - Country:US
Practice Address - Phone:800-792-9434
Practice Address - Fax:800-401-6980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health