Provider Demographics
NPI:1609853142
Name:HERALDS HOME HEALTH
Entity Type:Organization
Organization Name:HERALDS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JASPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-988-0395
Mailing Address - Street 1:3703 LONG BEACH BLVD.
Mailing Address - Street 2:STE 403
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3329
Mailing Address - Country:US
Mailing Address - Phone:562-988-0395
Mailing Address - Fax:562-490-7232
Practice Address - Street 1:3703 LONG BEACH BLVD.
Practice Address - Street 2:STE 403
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3329
Practice Address - Country:US
Practice Address - Phone:562-988-0395
Practice Address - Fax:562-490-7232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001473251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08203FMedicaid
CAHHA08203FMedicaid