Provider Demographics
NPI:1306392956
Name:HOGAL ENTERPRISES, LLC
Entity Type:Organization
Organization Name:HOGAL ENTERPRISES, LLC
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-920-0333
Mailing Address - Street 1:2335 WEST FOOTHILLL BLVD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-920-0333
Mailing Address - Fax:909-920-3777
Practice Address - Street 1:2335 WEST FOOTHILLL BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-920-0333
Practice Address - Fax:909-920-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA364700025253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care