Provider Demographics
NPI:1437804903
Name:FOOTHILL HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:FOOTHILL HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:OKSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNEENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-410-2112
Mailing Address - Street 1:7840 FOOTHILL BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2907
Mailing Address - Country:US
Mailing Address - Phone:323-410-2112
Mailing Address - Fax:
Practice Address - Street 1:7840 FOOTHILL BLVD STE E
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2907
Practice Address - Country:US
Practice Address - Phone:323-410-2112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FHH INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health