Provider Demographics
NPI:1518964741
Name:E G & T CONSULTANTS
Entity Type:Organization
Organization Name:E G & T CONSULTANTS
Other - Org Name:AMERICAN HOMECARE HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:818-566-1020
Mailing Address - Street 1:745 N WHITNALL HWY.
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505
Mailing Address - Country:US
Mailing Address - Phone:818-566-1930
Mailing Address - Fax:
Practice Address - Street 1:745 N WHITNALL HWY.
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505
Practice Address - Country:US
Practice Address - Phone:818-566-1930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001346251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08089FMedicaid
CA058089OtherBLUE CROSS OF CA
CAZZZ=========OtherBLUE SHIELD OF CA
CA058089Medicare ID - Type Unspecified