Provider Demographics
NPI:1043930605
Name:CONFIDENCE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:CONFIDENCE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LOURDES MONNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:669-285-8072
Mailing Address - Street 1:330 W HEDDING ST STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-1634
Mailing Address - Country:US
Mailing Address - Phone:669-285-8072
Mailing Address - Fax:
Practice Address - Street 1:330 W HEDDING ST STE 208
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-1634
Practice Address - Country:US
Practice Address - Phone:669-285-8072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health