Provider Demographics
NPI:1407088545
Name:ALL VALLEY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ALL VALLEY HOME HEALTH CARE INC
Other - Org Name:ALL VALLEY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-571-7016
Mailing Address - Street 1:3665 RUFFIN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1871
Mailing Address - Country:US
Mailing Address - Phone:858-571-7016
Mailing Address - Fax:858-278-5291
Practice Address - Street 1:8855 BALBOA AVE
Practice Address - Street 2:SUITE G
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-571-7016
Practice Address - Fax:858-278-5291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA374700049OtherCA DEPT OF SOCIAL SERVICES