Provider Demographics
NPI:1588620835
Name:ALL CARE HOME HEALTH PROVIDER
Entity Type:Organization
Organization Name:ALL CARE HOME HEALTH PROVIDER
Other - Org Name:ALL CARE HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:SAYAS
Authorized Official - Last Name:PAGSISIHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-241-9108
Mailing Address - Street 1:100 W BROADWAY
Mailing Address - Street 2:SUITE 810
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91210-1242
Mailing Address - Country:US
Mailing Address - Phone:818-241-9108
Mailing Address - Fax:818-241-9123
Practice Address - Street 1:100 W BROADWAY
Practice Address - Street 2:SUITE 810
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91210-1242
Practice Address - Country:US
Practice Address - Phone:818-241-9108
Practice Address - Fax:818-241-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC01758FMedicaid
CA051758Medicare ID - Type Unspecified