Provider Demographics
NPI:1659982320
Name:1ST AIDE HOME HEALTH AGENCY INC.
Entity Type:Organization
Organization Name:1ST AIDE HOME HEALTH AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PINGOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-244-9732
Mailing Address - Street 1:9605 ARROW RTE STE S
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4555
Mailing Address - Country:US
Mailing Address - Phone:909-244-9732
Mailing Address - Fax:909-294-5074
Practice Address - Street 1:9605 ARROW RTE STE S
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4555
Practice Address - Country:US
Practice Address - Phone:909-244-9732
Practice Address - Fax:909-294-5074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health