Provider Demographics
NPI:1558463778
Name:NURSES PLUS HOME HEALTH
Entity Type:Organization
Organization Name:NURSES PLUS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:PIMENTEL
Authorized Official - Last Name:MABINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-809-1192
Mailing Address - Street 1:11090 E. ARTESIA BLVD.
Mailing Address - Street 2:SUITE E
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703
Mailing Address - Country:US
Mailing Address - Phone:562-809-1192
Mailing Address - Fax:562-809-3033
Practice Address - Street 1:11090 E. ARTESIA BLVD.
Practice Address - Street 2:SUITE E
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703
Practice Address - Country:US
Practice Address - Phone:562-809-1192
Practice Address - Fax:562-809-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41678335251E00000X
CA980000971251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA557676Medicare UPIN