Provider Demographics
NPI:1346394921
Name:CERTIFIED HEALTHCARE PROFESSIONALS, INC.
Entity Type:Organization
Organization Name:CERTIFIED HEALTHCARE PROFESSIONALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:909-733-1357
Mailing Address - Street 1:P.O. BOX 401396
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92340
Mailing Address - Country:US
Mailing Address - Phone:909-733-1357
Mailing Address - Fax:760-244-4629
Practice Address - Street 1:15250 SEQUOIA AVE 'B'
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92340-1396
Practice Address - Country:US
Practice Address - Phone:909-888-7500
Practice Address - Fax:909-888-6200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CERTIFIED HEALTHCARE PROFESSIONALS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-22
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X
CA251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care