Provider Demographics
NPI:1235627100
Name:EIGHT HEALTHCARE
Entity Type:Organization
Organization Name:EIGHT HEALTHCARE
Other - Org Name:EIGHT HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:214-435-9946
Mailing Address - Street 1:1721 E PINE AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4407
Mailing Address - Country:US
Mailing Address - Phone:214-435-9946
Mailing Address - Fax:
Practice Address - Street 1:5969 ARDEN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-1609
Practice Address - Country:US
Practice Address - Phone:214-435-9946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health