Provider Demographics
NPI:1659946820
Name:ACTION CARE, INC. DBA HOME INSTEAD
Entity Type:Organization
Organization Name:ACTION CARE, INC. DBA HOME INSTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KORDENBROCK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:949-347-6769
Mailing Address - Street 1:33161 CAMINO CAPISTRANO STE G
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-4826
Mailing Address - Country:US
Mailing Address - Phone:949-347-6767
Mailing Address - Fax:
Practice Address - Street 1:33161 CAMINO CAPISTRANO STE G
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-4826
Practice Address - Country:US
Practice Address - Phone:949-347-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care