Provider Demographics
NPI:1245395698
Name:INTERLINK HEALTH CARE, INC.
Entity Type:Organization
Organization Name:INTERLINK HEALTH CARE, INC.
Other - Org Name:INTERLINK HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GUANZON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-784-3500
Mailing Address - Street 1:2001 N GAREY AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2773
Mailing Address - Country:US
Mailing Address - Phone:909-784-3500
Mailing Address - Fax:909-620-0794
Practice Address - Street 1:2001 N GAREY AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2773
Practice Address - Country:US
Practice Address - Phone:909-784-3500
Practice Address - Fax:909-620-0794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980000907251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57576FMedicaid
CA557576Medicare PIN