Provider Demographics
NPI:1235743683
Name:COMPLIANCE HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:COMPLIANCE HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS
Authorized Official - Prefix:
Authorized Official - First Name:JULIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTONIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-428-5687
Mailing Address - Street 1:2130 N ARROWHEAD AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92405-4029
Mailing Address - Country:US
Mailing Address - Phone:818-428-5687
Mailing Address - Fax:909-713-2122
Practice Address - Street 1:2130 N ARROWHEAD AVE STE C
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92405-4029
Practice Address - Country:US
Practice Address - Phone:818-428-5687
Practice Address - Fax:909-713-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health