Provider Demographics
NPI:1578919965
Name:CHINO HOME HEALTHCARE INCORPORATED
Entity Type:Organization
Organization Name:CHINO HOME HEALTHCARE INCORPORATED
Other - Org Name:CHINO HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:UBA
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-358-9117
Mailing Address - Street 1:3939 HWY 80 E STE 273
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-8101
Mailing Address - Country:US
Mailing Address - Phone:972-358-9117
Mailing Address - Fax:469-547-1982
Practice Address - Street 1:3939 HWY 80 E STE 273
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-8101
Practice Address - Country:US
Practice Address - Phone:972-358-9117
Practice Address - Fax:469-547-1982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health