Provider Demographics
NPI:1114577509
Name:OSO HOME CARE, INC.
Entity Type:Organization
Organization Name:OSO HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BOHART
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:949-660-7126
Mailing Address - Street 1:17175 GILLETTE AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5602
Mailing Address - Country:US
Mailing Address - Phone:949-660-7126
Mailing Address - Fax:949-660-7138
Practice Address - Street 1:2811 N LIMA ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-2511
Practice Address - Country:US
Practice Address - Phone:818-557-0308
Practice Address - Fax:818-433-7662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion