Provider Demographics
NPI:1508037730
Name:HCOA OC INC
Entity Type:Organization
Organization Name:HCOA OC INC
Other - Org Name:HOME CARE OF AMERICA, INC./ORANGE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUCUECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-586-7696
Mailing Address - Street 1:23461 S POINTE DR STE 155
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1574
Mailing Address - Country:US
Mailing Address - Phone:949-586-7696
Mailing Address - Fax:949-472-1357
Practice Address - Street 1:23461 S POINTE DR STE 155
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1574
Practice Address - Country:US
Practice Address - Phone:949-586-7696
Practice Address - Fax:949-472-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-15
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000505251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health