Provider Demographics
NPI:1083797880
Name:CASTRO VALLEY HEALTH, INC
Entity Type:Organization
Organization Name:CASTRO VALLEY HEALTH, INC
Other - Org Name:CVH HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:RECIO
Authorized Official - Last Name:PARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN PHN
Authorized Official - Phone:510-690-1930
Mailing Address - Street 1:20980 REDWOOD RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5930
Mailing Address - Country:US
Mailing Address - Phone:510-690-1930
Mailing Address - Fax:510-690-0930
Practice Address - Street 1:20980 REDWOOD RD
Practice Address - Street 2:SUITE 205
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5930
Practice Address - Country:US
Practice Address - Phone:510-690-1930
Practice Address - Fax:510-690-0930
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARINAS GENERAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-23
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000134251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058388Medicare Oscar/Certification