Provider Demographics
NPI:1093885527
Name:AFFILIATED HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:AFFILIATED HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:MURILLO
Authorized Official - Last Name:ONRUBIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-487-7052
Mailing Address - Street 1:3350 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 940
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1824
Mailing Address - Country:US
Mailing Address - Phone:213-487-7052
Mailing Address - Fax:213-487-0071
Practice Address - Street 1:3350 WILSHIRE BLVD
Practice Address - Street 2:SUITE 940
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1824
Practice Address - Country:US
Practice Address - Phone:213-487-7052
Practice Address - Fax:213-487-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA557145Medicare ID - Type UnspecifiedPROVIDER NUMBER