Provider Demographics
NPI:1609243245
Name:AGING IN PLACE HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:AGING IN PLACE HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVILBISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-960-9193
Mailing Address - Street 1:1530 3RD ST STE 112
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-2500
Mailing Address - Country:US
Mailing Address - Phone:916-960-9193
Mailing Address - Fax:916-645-2416
Practice Address - Street 1:1530 3RD ST STE 112
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-2500
Practice Address - Country:US
Practice Address - Phone:916-960-9193
Practice Address - Fax:916-645-2416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health