Provider Demographics
NPI:1407077126
Name:HOLY INFANT HOME CARE, INC.
Entity Type:Organization
Organization Name:HOLY INFANT HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:CAPARAS
Authorized Official - Last Name:OCHOCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-603-9312
Mailing Address - Street 1:791 MARYLIND AVE
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-3531
Mailing Address - Country:US
Mailing Address - Phone:909-603-9312
Mailing Address - Fax:909-399-3272
Practice Address - Street 1:791 MARYLIND AVE
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-3531
Practice Address - Country:US
Practice Address - Phone:909-603-9312
Practice Address - Fax:909-399-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health