Provider Demographics
NPI:1235459470
Name:TERRILL FAMILY SERVICES
Entity Type:Organization
Organization Name:TERRILL FAMILY SERVICES
Other - Org Name:COMFORCARE HOME CARE WEST SANTA CLARA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:LANG
Authorized Official - Last Name:TERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-386-1496
Mailing Address - Street 1:229 POLARIS AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-4570
Mailing Address - Country:US
Mailing Address - Phone:650-386-1496
Mailing Address - Fax:650-386-1583
Practice Address - Street 1:229 POLARIS AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-4570
Practice Address - Country:US
Practice Address - Phone:650-386-1496
Practice Address - Fax:650-386-1583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care