Provider Demographics
NPI:1033502885
Name:FOOTHILL VALLEY HOME CARE
Entity Type:Organization
Organization Name:FOOTHILL VALLEY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:RIEFLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-698-9842
Mailing Address - Street 1:2141 DRAGON TRL
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3297
Mailing Address - Country:US
Mailing Address - Phone:830-832-6119
Mailing Address - Fax:
Practice Address - Street 1:2141 DRAGON TRL
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3297
Practice Address - Country:US
Practice Address - Phone:830-832-6119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care