Provider Demographics
NPI:1558503862
Name:HOME START, INC.
Entity Type:Organization
Organization Name:HOME START, INC.
Other - Org Name:HOME START, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSTRUCTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-229-3660
Mailing Address - Street 1:5296 UNIVERSITY AVE STE F2
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-2269
Mailing Address - Country:US
Mailing Address - Phone:619-229-3660
Mailing Address - Fax:619-265-2408
Practice Address - Street 1:5296 UNIVERSITY AVE STE F2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-2269
Practice Address - Country:US
Practice Address - Phone:619-229-3660
Practice Address - Fax:619-265-2408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management