Provider Demographics
NPI:1336143312
Name:MEDCARE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:MEDCARE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:ALBANO
Authorized Official - Last Name:NAPALAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:818-785-2152
Mailing Address - Street 1:14601 TITUS ST
Mailing Address - Street 2:STE 203
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4922
Mailing Address - Country:US
Mailing Address - Phone:818-785-2152
Mailing Address - Fax:818-785-2154
Practice Address - Street 1:14601 TITUS ST
Practice Address - Street 2:STE 203
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4922
Practice Address - Country:US
Practice Address - Phone:818-785-2152
Practice Address - Fax:818-785-2154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08221FMedicaid
CAHHA08221FMedicaid