Provider Demographics
NPI:1275783680
Name:NEIGHBORHOOD HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:NEIGHBORHOOD HOME HEALTH CARE, INC.
Other - Org Name:RALPH SANTOS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:626-584-5923
Mailing Address - Street 1:1650 E WALNUT ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1619
Mailing Address - Country:US
Mailing Address - Phone:626-584-5923
Mailing Address - Fax:626-584-5924
Practice Address - Street 1:1650 E WALNUT ST
Practice Address - Street 2:SUITE B
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1619
Practice Address - Country:US
Practice Address - Phone:626-584-5923
Practice Address - Fax:626-584-5924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-9209Medicaid
CA05-9209Medicaid