Provider Demographics
NPI:1104009919
Name:SANTANA HOME HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:SANTANA HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-627-4919
Mailing Address - Street 1:12960 CENTRAL AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-4166
Mailing Address - Country:US
Mailing Address - Phone:909-627-4919
Mailing Address - Fax:909-627-4952
Practice Address - Street 1:12960 CENTRAL AVE
Practice Address - Street 2:SUITE E
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-4166
Practice Address - Country:US
Practice Address - Phone:909-627-4919
Practice Address - Fax:909-627-4952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health