Provider Demographics
NPI:1275977993
Name:HOME START
Entity Type:Organization
Organization Name:HOME START
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER / NUTRITION EDUCATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-229-3660
Mailing Address - Street 1:5005 TEXAS ST
Mailing Address - Street 2:203
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3721
Mailing Address - Country:US
Mailing Address - Phone:619-692-0727
Mailing Address - Fax:619-692-0785
Practice Address - Street 1:4305 UNIVERSITY AVE
Practice Address - Street 2:410
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1645
Practice Address - Country:US
Practice Address - Phone:619-692-0727
Practice Address - Fax:619-692-0785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management