Provider Demographics
NPI:1558029603
Name:360 CARE AT HOME, INC
Entity Type:Organization
Organization Name:360 CARE AT HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGUBO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-465-2989
Mailing Address - Street 1:30590 COCHISE CIR STE 110
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2501
Mailing Address - Country:US
Mailing Address - Phone:800-465-2989
Mailing Address - Fax:657-443-3080
Practice Address - Street 1:30590 COCHISE CIR STE 110
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2501
Practice Address - Country:US
Practice Address - Phone:800-465-2989
Practice Address - Fax:657-443-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based