Provider Demographics
NPI:1235496134
Name:ALLIED HOME CARE AND CASE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:ALLIED HOME CARE AND CASE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISOSTOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-424-4574
Mailing Address - Street 1:521 ALANDELE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3272
Mailing Address - Country:US
Mailing Address - Phone:323-424-4574
Mailing Address - Fax:323-704-3694
Practice Address - Street 1:521 ALANDELE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3272
Practice Address - Country:US
Practice Address - Phone:323-424-4574
Practice Address - Fax:323-704-3694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care