Provider Demographics
NPI:1477132413
Name:HOME CARE ABC, LLC.
Entity Type:Organization
Organization Name:HOME CARE ABC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANPING
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-658-8898
Mailing Address - Street 1:8407 CENTRAL AVE STE 2034
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-3431
Mailing Address - Country:US
Mailing Address - Phone:408-658-8898
Mailing Address - Fax:650-523-9019
Practice Address - Street 1:8407 CENTRAL AVE STE 2034
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-3431
Practice Address - Country:US
Practice Address - Phone:408-658-8898
Practice Address - Fax:650-523-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health