Provider Demographics
NPI:1245559947
Name:AMERIPRIME HOME HEALTH PROVIDERS,INC.
Entity Type:Organization
Organization Name:AMERIPRIME HOME HEALTH PROVIDERS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANILO
Authorized Official - Middle Name:JORNALES
Authorized Official - Last Name:CONDOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-689-2800
Mailing Address - Street 1:11671 STERLING AVE STE B
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-4971
Mailing Address - Country:US
Mailing Address - Phone:951-689-2800
Mailing Address - Fax:951-689-2828
Practice Address - Street 1:11671 STERLING AVE STE B
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-4971
Practice Address - Country:US
Practice Address - Phone:951-689-2800
Practice Address - Fax:951-689-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250000804251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health