Provider Demographics
NPI:1578931903
Name:HOMECARE PHYSICIANS MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:HOMECARE PHYSICIANS MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:SALPETER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-554-1000
Mailing Address - Street 1:1670 S AMPHLETT BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2510
Mailing Address - Country:US
Mailing Address - Phone:650-554-1000
Mailing Address - Fax:
Practice Address - Street 1:1670 S AMPHLETT BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2510
Practice Address - Country:US
Practice Address - Phone:650-554-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty