Provider Demographics
NPI:1275868341
Name:MCCRAE & RODGERS
Entity Type:Organization
Organization Name:MCCRAE & RODGERS
Other - Org Name:SENIOR HELPERS-SAN FERNANDO VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-368-6313
Mailing Address - Street 1:17029 CHATSWORTH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5846
Mailing Address - Country:US
Mailing Address - Phone:818-368-6313
Mailing Address - Fax:818-368-6203
Practice Address - Street 1:17029 CHATSWORTH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5846
Practice Address - Country:US
Practice Address - Phone:818-368-6313
Practice Address - Fax:818-368-6203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care