Provider Demographics
NPI:1376797035
Name:24HR HOMECARE
Entity Type:Organization
Organization Name:24HR HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:YUJI
Authorized Official - Last Name:IWAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-906-3689
Mailing Address - Street 1:200 N PACIFIC COAST HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-5626
Mailing Address - Country:US
Mailing Address - Phone:310-906-3683
Mailing Address - Fax:310-375-5656
Practice Address - Street 1:200 N PACIFIC COAST HWY STE 300
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5626
Practice Address - Country:US
Practice Address - Phone:310-906-3683
Practice Address - Fax:310-375-5656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care