Provider Demographics
NPI:1093429185
Name:SYNERGY HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:SYNERGY HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:NONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-389-8379
Mailing Address - Street 1:9778 KATELLA AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6447
Mailing Address - Country:US
Mailing Address - Phone:714-389-8379
Mailing Address - Fax:
Practice Address - Street 1:9778 KATELLA AVE STE 215
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6447
Practice Address - Country:US
Practice Address - Phone:714-389-8379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC4829511OtherARTICLES OF INCORPORATION