Provider Demographics
NPI:1639836745
Name:OPTION ONE HOME HEALTH INC
Entity Type:Organization
Organization Name:OPTION ONE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-526-3480
Mailing Address - Street 1:40015 SIERRA HWY STE B210
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-2138
Mailing Address - Country:US
Mailing Address - Phone:661-526-3480
Mailing Address - Fax:661-526-3485
Practice Address - Street 1:40015 SIERRA HWY STE B210
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-2138
Practice Address - Country:US
Practice Address - Phone:661-526-3480
Practice Address - Fax:661-526-3485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health