Provider Demographics
NPI:1275307985
Name:LA CARLOTAS HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:LA CARLOTAS HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YASHMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:UBALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-653-1608
Mailing Address - Street 1:68 E 11TH ST STE 116
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-4089
Mailing Address - Country:US
Mailing Address - Phone:650-653-1608
Mailing Address - Fax:
Practice Address - Street 1:68 E 11TH ST STE 116
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-4089
Practice Address - Country:US
Practice Address - Phone:650-653-1608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health