Provider Demographics
NPI:1407120462
Name:CEBU HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CEBU HOME HEALTH, INC.
Other - Org Name:CEBU HOME HEALTH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:310-549-4800
Mailing Address - Street 1:14056 VALLEYHEART DR
Mailing Address - Street 2:#201
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-5403
Mailing Address - Country:US
Mailing Address - Phone:310-549-4800
Mailing Address - Fax:310-549-4801
Practice Address - Street 1:14056 VALLEYHEART DR
Practice Address - Street 2:#201
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-5403
Practice Address - Country:US
Practice Address - Phone:310-549-4800
Practice Address - Fax:310-549-4801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health