Provider Demographics
NPI:1609001767
Name:HEALTHWAYS HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:HEALTHWAYS HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMLANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-724-8889
Mailing Address - Street 1:34 EXECUTIVE PARK
Mailing Address - Street 2:SUITE 212
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6756
Mailing Address - Country:US
Mailing Address - Phone:949-724-8889
Mailing Address - Fax:949-724-8881
Practice Address - Street 1:34 EXECUTIVE PARK
Practice Address - Street 2:SUITE 212
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6756
Practice Address - Country:US
Practice Address - Phone:949-724-8889
Practice Address - Fax:949-724-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059219OtherCCN