Provider Demographics
NPI:1487215836
Name:AL-SHIFA HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:AL-SHIFA HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZULFIQAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-687-1912
Mailing Address - Street 1:PO BOX 5096
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92814-1096
Mailing Address - Country:US
Mailing Address - Phone:714-867-1912
Mailing Address - Fax:855-624-9362
Practice Address - Street 1:6201 BONHOMME RD STE 185N-E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4365
Practice Address - Country:US
Practice Address - Phone:714-867-1912
Practice Address - Fax:855-624-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health