Provider Demographics
NPI:1265452742
Name:HOME CARE LINK HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:HOME CARE LINK HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-860-4010
Mailing Address - Street 1:17215 STUDEBAKER RD
Mailing Address - Street 2:SUITE # 285
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-2548
Mailing Address - Country:US
Mailing Address - Phone:562-860-4010
Mailing Address - Fax:562-860-3640
Practice Address - Street 1:17215 STUDEBAKER RD
Practice Address - Street 2:SUITE # 285
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2548
Practice Address - Country:US
Practice Address - Phone:562-860-4010
Practice Address - Fax:562-860-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08001FMedicaid
CA058001Medicare ID - Type Unspecified