Provider Demographics
NPI:1043495534
Name:EASTERN HOME HEALTH, INC.
Entity Type:Organization
Organization Name:EASTERN HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-816-2980
Mailing Address - Street 1:2463 WEST TORRANCE BLVD
Mailing Address - Street 2:SUITES C & D
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501
Mailing Address - Country:US
Mailing Address - Phone:310-328-2980
Mailing Address - Fax:310-328-2985
Practice Address - Street 1:2463 TORRANCE BLVD
Practice Address - Street 2:SUITES C AND D
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2498
Practice Address - Country:US
Practice Address - Phone:310-328-2980
Practice Address - Fax:310-328-2985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001559251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health