Provider Demographics
NPI:1033365309
Name:MARLENE MALAGUIT DE CASTRO
Entity Type:Organization
Organization Name:MARLENE MALAGUIT DE CASTRO
Other - Org Name:UNLIMITED HOMECARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-446-5468
Mailing Address - Street 1:159 E HUNTINGTON DR
Mailing Address - Street 2:UNIT 4
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3224
Mailing Address - Country:US
Mailing Address - Phone:626-446-5468
Mailing Address - Fax:626-446-7068
Practice Address - Street 1:159 E HUNTINGTON DR
Practice Address - Street 2:UNIT 4
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3224
Practice Address - Country:US
Practice Address - Phone:626-446-5468
Practice Address - Fax:626-446-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA059163251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-9163Medicaid
CA05-9163Medicaid