Provider Demographics
NPI:1568604460
Name:HEALTHPOINT HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HEALTHPOINT HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:YUMUL
Authorized Official - Last Name:DUQUE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:559-412-7953
Mailing Address - Street 1:2137 HERNDON AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6105
Mailing Address - Country:US
Mailing Address - Phone:559-412-7953
Mailing Address - Fax:559-492-3503
Practice Address - Street 1:2137 HERNDON AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6105
Practice Address - Country:US
Practice Address - Phone:559-412-7953
Practice Address - Fax:559-492-3503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059312Medicare Oscar/Certification