Provider Demographics
NPI:1386642197
Name:ALL-MED HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ALL-MED HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIEVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-986-2356
Mailing Address - Street 1:16661 VENTURA BLVD
Mailing Address - Street 2:SUITE 503
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1914
Mailing Address - Country:US
Mailing Address - Phone:818-986-2356
Mailing Address - Fax:818-986-2360
Practice Address - Street 1:16661 VENTURA BLVD
Practice Address - Street 2:SUITE 503
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1914
Practice Address - Country:US
Practice Address - Phone:818-986-2356
Practice Address - Fax:818-986-2360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001076251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08027FMedicaid
CAHHA08027FMedicaid