Provider Demographics
NPI:1164941753
Name:FLOWER HOME HEALTH INC.
Entity Type:Organization
Organization Name:FLOWER HOME HEALTH INC.
Other - Org Name:PREFERRED HOME HEALTH PROVIDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMUCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-980-9518
Mailing Address - Street 1:8560 VINEYARD AVE STE 505
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4350
Mailing Address - Country:US
Mailing Address - Phone:909-980-9518
Mailing Address - Fax:909-980-9521
Practice Address - Street 1:8560 VINEYARD AVE STE 505
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4350
Practice Address - Country:US
Practice Address - Phone:909-980-9518
Practice Address - Fax:909-980-9521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000194251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health