Provider Demographics
NPI:1467979633
Name:EPHESIANS HOME HEALTH INCORPORATED
Entity Type:Organization
Organization Name:EPHESIANS HOME HEALTH INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CINCO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-200-8850
Mailing Address - Street 1:1500 PALMA DR STE 247
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6451
Mailing Address - Country:US
Mailing Address - Phone:805-200-8850
Mailing Address - Fax:818-998-0931
Practice Address - Street 1:1500 PALMA DR STE 247
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6451
Practice Address - Country:US
Practice Address - Phone:805-200-8850
Practice Address - Fax:818-998-0931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC4040091251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health