Provider Demographics
NPI:1275630550
Name:CONTINENTAL HOMECARE, INC.
Entity Type:Organization
Organization Name:CONTINENTAL HOMECARE, INC.
Other - Org Name:CONTINENTAL HOSPITAL SUPPLY CORP.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-242-4171
Mailing Address - Street 1:320 W CERRITOS AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2704
Mailing Address - Country:US
Mailing Address - Phone:818-242-4171
Mailing Address - Fax:818-291-0446
Practice Address - Street 1:45180 CLUB DR
Practice Address - Street 2:
Practice Address - City:INDIAN WELLS
Practice Address - State:CA
Practice Address - Zip Code:92210-8806
Practice Address - Country:US
Practice Address - Phone:760-345-2537
Practice Address - Fax:760-772-3912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NOT REQUIRED332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ81337ZMedicaid
CA0172840002Medicare NSC