Provider Demographics
NPI:1508164625
Name:CARE LINK HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CARE LINK HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FIDES
Authorized Official - Middle Name:DALUPANG
Authorized Official - Last Name:SUNGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-650-6305
Mailing Address - Street 1:2112 EASTMAN AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5773
Mailing Address - Country:US
Mailing Address - Phone:805-650-6305
Mailing Address - Fax:805-650-6307
Practice Address - Street 1:2112 EASTMAN AVE STE 110
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5773
Practice Address - Country:US
Practice Address - Phone:805-650-6305
Practice Address - Fax:805-650-6307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3112817251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health