Provider Demographics
NPI:1043910037
Name:A1 PRO HOME HEALTH INC
Entity Type:Organization
Organization Name:A1 PRO HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-862-3508
Mailing Address - Street 1:24301 SOUTHLAND DR STE 404
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1550
Mailing Address - Country:US
Mailing Address - Phone:510-826-1888
Mailing Address - Fax:510-826-2888
Practice Address - Street 1:24301 SOUTHLAND DR STE 404
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1550
Practice Address - Country:US
Practice Address - Phone:510-826-1888
Practice Address - Fax:510-826-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health