Provider Demographics
NPI:1245567122
Name:VIEWCREST HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:VIEWCREST HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ARCEO
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN
Authorized Official - Phone:323-717-5181
Mailing Address - Street 1:1202 MONTE VISTA AVE STE 20
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-8235
Mailing Address - Country:US
Mailing Address - Phone:909-920-3111
Mailing Address - Fax:909-920-3114
Practice Address - Street 1:1202 MONTE VISTA AVE STE 20
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-8235
Practice Address - Country:US
Practice Address - Phone:909-920-3111
Practice Address - Fax:909-920-3114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health