Provider Demographics
NPI:1003679036
Name:PENA FRANCIA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:PENA FRANCIA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:CAEZAR
Authorized Official - Last Name:HENZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-821-2308
Mailing Address - Street 1:2235 E FLAMINGO RD STE 220
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0807
Mailing Address - Country:US
Mailing Address - Phone:702-202-6039
Mailing Address - Fax:
Practice Address - Street 1:2235 E FLAMINGO RD STE 220
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0807
Practice Address - Country:US
Practice Address - Phone:702-202-6039
Practice Address - Fax:702-202-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health