Provider Demographics
NPI:1467631887
Name:A-1 HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:A-1 HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OF THE BOARD OF DIRECTORS
Authorized Official - Prefix:
Authorized Official - First Name:LEEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-584-8146
Mailing Address - Street 1:1407 KEUHER DRIVE
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-4478
Mailing Address - Country:US
Mailing Address - Phone:805-584-8146
Mailing Address - Fax:805-584-9424
Practice Address - Street 1:1407 KUEHNER DR
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-4478
Practice Address - Country:US
Practice Address - Phone:805-584-8146
Practice Address - Fax:805-584-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050000563251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058118Medicare Oscar/Certification