Provider Demographics
NPI:1043654148
Name:AH FAMILY NURSING CARE INCORPORATED
Entity Type:Organization
Organization Name:AH FAMILY NURSING CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOLLENBECK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:909-450-1571
Mailing Address - Street 1:12800 SADDLERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-1680
Mailing Address - Country:US
Mailing Address - Phone:909-450-1571
Mailing Address - Fax:909-579-0100
Practice Address - Street 1:1601 MONTE VISTA AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-2962
Practice Address - Country:US
Practice Address - Phone:909-450-1571
Practice Address - Fax:909-579-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty