Provider Demographics
NPI:1073864369
Name:24/7 HEALTHCARE INC
Entity Type:Organization
Organization Name:24/7 HEALTHCARE INC
Other - Org Name:24/7 HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDOLPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VANDERWERF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-991-4564
Mailing Address - Street 1:1172 MURPHY AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2418
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1172 MURPHY AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2418
Practice Address - Country:US
Practice Address - Phone:408-991-4564
Practice Address - Fax:800-860-7828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC3999113OtherCALIFORNIA INCORPORATION