Provider Demographics
NPI:1295854388
Name:HOME HEALTH 4U, INC.
Entity Type:Organization
Organization Name:HOME HEALTH 4U, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMANTEFLOR
Authorized Official - Middle Name:P
Authorized Official - Last Name:VILLANUEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-892-1200
Mailing Address - Street 1:15650 DEVONSHIRE ST STE 104
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7244
Mailing Address - Country:US
Mailing Address - Phone:818-892-1200
Mailing Address - Fax:818-892-3300
Practice Address - Street 1:15650 DEVONSHIRE ST STE 104
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7244
Practice Address - Country:US
Practice Address - Phone:818-892-1200
Practice Address - Fax:818-892-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2010-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000765251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059031Medicare Oscar/Certification