Provider Demographics
NPI:1467554261
Name:AMERIPRIME HOME HEALTH PROVIDERS, INC.
Entity Type:Organization
Organization Name:AMERIPRIME HOME HEALTH PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DIOMEDES
Authorized Official - Middle Name:LOPEZ
Authorized Official - Last Name:PUNONGBAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-689-2800
Mailing Address - Street 1:11840 MAGNOLIA AVE STE C
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-4900
Mailing Address - Country:US
Mailing Address - Phone:951-689-2800
Mailing Address - Fax:
Practice Address - Street 1:11840 MAGNOLIA AVE STE C
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-4900
Practice Address - Country:US
Practice Address - Phone:951-689-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08333FOtherMEDI-CAL
CAHHA08333FOtherMEDI-CAL