Provider Demographics
NPI:1588222087
Name:A HOMECARE SERVICES, INC
Entity Type:Organization
Organization Name:A HOMECARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGALANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-653-7004
Mailing Address - Street 1:4193 FLAT ROCK ROAD
Mailing Address - Street 2:BUILDING 200 SUITE 206
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505
Mailing Address - Country:US
Mailing Address - Phone:951-653-7004
Mailing Address - Fax:951-710-9880
Practice Address - Street 1:4193 FLAT ROCK ROAD
Practice Address - Street 2:BUILDING 200 SUITE 206
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505
Practice Address - Country:US
Practice Address - Phone:951-653-7004
Practice Address - Fax:951-710-9880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care