Provider Demographics
NPI:1477295954
Name:MDC HOME CARE INC.
Entity Type:Organization
Organization Name:MDC HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THANG
Authorized Official - Middle Name:
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-975-3025
Mailing Address - Street 1:16025 E BRIDGER ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-3323
Mailing Address - Country:US
Mailing Address - Phone:626-430-6225
Mailing Address - Fax:714-784-2515
Practice Address - Street 1:16025 E BRIDGER ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-3323
Practice Address - Country:US
Practice Address - Phone:626-430-6225
Practice Address - Fax:714-784-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility