Provider Demographics
NPI:1437496692
Name:HOME INSTEAD SENIOR CARE
Entity Type:Organization
Organization Name:HOME INSTEAD SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE CARE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:F
Authorized Official - Last Name:VICERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-522-8009
Mailing Address - Street 1:2207 S EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1808
Mailing Address - Country:US
Mailing Address - Phone:650-522-8009
Mailing Address - Fax:650-212-0228
Practice Address - Street 1:2207 S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1808
Practice Address - Country:US
Practice Address - Phone:650-522-8009
Practice Address - Fax:650-212-0228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care