Provider Demographics
NPI:1437367604
Name:TUSCANY HILLS HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:TUSCANY HILLS HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALMORES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:951-279-9995
Mailing Address - Street 1:232 E GRAND BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-1532
Mailing Address - Country:US
Mailing Address - Phone:951-279-9995
Mailing Address - Fax:951-279-1678
Practice Address - Street 1:232 E GRAND BLVD
Practice Address - Street 2:STE 104
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1532
Practice Address - Country:US
Practice Address - Phone:951-279-9995
Practice Address - Fax:951-279-1678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-19
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000456251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550000456OtherDHS LICENSE
059225OtherMEDICARE PROVIDER NUMBER
CA550000456OtherDHS LICENSE