Provider Demographics
NPI:1588804256
Name:CONCIERGE HOME HEALTH CARE
Entity Type:Organization
Organization Name:CONCIERGE HOME HEALTH CARE
Other - Org Name:CONCIERGE HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARECHIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-299-1080
Mailing Address - Street 1:333 W SAN CARLOS ST
Mailing Address - Street 2:SUITE 1680
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-2726
Mailing Address - Country:US
Mailing Address - Phone:408-287-5007
Mailing Address - Fax:408-287-3505
Practice Address - Street 1:333 W SAN CARLOS ST
Practice Address - Street 2:SUITE 1680
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-2726
Practice Address - Country:US
Practice Address - Phone:408-287-5007
Practice Address - Fax:408-287-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2817933989251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based