Provider Demographics
NPI:1174020903
Name:CVHCARE PRIVATE DUTY COMPANY
Entity Type:Organization
Organization Name:CVHCARE PRIVATE DUTY COMPANY
Other - Org Name:CVHCARE PRIVATE DUTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE & QUALITY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PFEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-690-1930
Mailing Address - Street 1:2410 CAMINO RAMON STE 331
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4324
Mailing Address - Country:US
Mailing Address - Phone:510-690-1930
Mailing Address - Fax:925-251-3583
Practice Address - Street 1:2410 CAMINO RAMON STE 331
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4324
Practice Address - Country:US
Practice Address - Phone:510-690-1930
Practice Address - Fax:925-251-3583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care