Provider Demographics
NPI:1508430380
Name:HOME CARE STAY SF INC. DBA RIGHT AT HOME COACHELLA VALLEY
Entity Type:Organization
Organization Name:HOME CARE STAY SF INC. DBA RIGHT AT HOME COACHELLA VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-340-1919
Mailing Address - Street 1:74040 HIGHWAY 111 STE J
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4134
Mailing Address - Country:US
Mailing Address - Phone:760-340-1919
Mailing Address - Fax:
Practice Address - Street 1:74040 HIGHWAY 111 STE J
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4134
Practice Address - Country:US
Practice Address - Phone:760-340-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARAH1919OtherHOME CARE AGENCY