Provider Demographics
NPI:1427226646
Name:AAA LONGTERM CARE
Entity Type:Organization
Organization Name:AAA LONGTERM CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:RODRIGUEZ
Authorized Official - Last Name:RAMIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-701-1510
Mailing Address - Street 1:19434 LONDELIUS ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3511
Mailing Address - Country:US
Mailing Address - Phone:818-701-1510
Mailing Address - Fax:818-701-1289
Practice Address - Street 1:19434 LONDELIUS ST
Practice Address - Street 2:SUITE 103
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3511
Practice Address - Country:US
Practice Address - Phone:818-701-1510
Practice Address - Fax:818-701-1289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA621610OtherLONG TERM CARE