Provider Demographics
NPI:1154630556
Name:SENSICARE HOME HEALTH INC
Entity Type:Organization
Organization Name:SENSICARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLETA
Authorized Official - Middle Name:
Authorized Official - Last Name:UDENZE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-949-8833
Mailing Address - Street 1:99 N SAN ANTONIO AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4578
Mailing Address - Country:US
Mailing Address - Phone:909-949-8833
Mailing Address - Fax:909-949-8834
Practice Address - Street 1:99 N SAN ANTONIO AVE STE 140
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4578
Practice Address - Country:US
Practice Address - Phone:909-949-8833
Practice Address - Fax:909-949-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-02
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health