Provider Demographics
NPI:1033413182
Name:ODOS HOME HEALTH, INC
Entity Type:Organization
Organization Name:ODOS HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CEFERINO
Authorized Official - Middle Name:
Authorized Official - Last Name:FAJARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-362-1637
Mailing Address - Street 1:7840 EL CAJON BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-0620
Mailing Address - Country:US
Mailing Address - Phone:858-362-1637
Mailing Address - Fax:858-433-4494
Practice Address - Street 1:7840 EL CAJON BLVD STE 500
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0620
Practice Address - Country:US
Practice Address - Phone:858-362-1637
Practice Address - Fax:858-433-4494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health