Provider Demographics
NPI:1447800693
Name:HIRAYA HEALTHCARE INC
Entity Type:Organization
Organization Name:HIRAYA HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAMINONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-998-3855
Mailing Address - Street 1:21220 DEVONSHIRE ST STE 210
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-8246
Mailing Address - Country:US
Mailing Address - Phone:818-998-3855
Mailing Address - Fax:818-998-3865
Practice Address - Street 1:21220 DEVONSHIRE ST STE 210
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-8246
Practice Address - Country:US
Practice Address - Phone:818-998-3855
Practice Address - Fax:818-998-3865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health