Provider Demographics
NPI:1225244510
Name:HELP UNLIMITED PERSONNEL SERVICE, INC.
Entity Type:Organization
Organization Name:HELP UNLIMITED PERSONNEL SERVICE, INC.
Other - Org Name:HELP UNLIMITED HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:BERTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-289-9999
Mailing Address - Street 1:1767 GOODYEAR AVE.
Mailing Address - Street 2:#104
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7793
Mailing Address - Country:US
Mailing Address - Phone:805-289-9999
Mailing Address - Fax:805-289-3573
Practice Address - Street 1:1767 GOODYEAR AVE.
Practice Address - Street 2:#104
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7793
Practice Address - Country:US
Practice Address - Phone:805-289-9999
Practice Address - Fax:805-289-3573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57219FMedicaid
CA55-7219Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER