Provider Demographics
NPI:1679654131
Name:HOME HEALTH CARE LEADERS, INC
Entity Type:Organization
Organization Name:HOME HEALTH CARE LEADERS, INC
Other - Org Name:PALOMAR MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:OSMUNDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-433-2800
Mailing Address - Street 1:602 VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6441
Mailing Address - Country:US
Mailing Address - Phone:760-433-2800
Mailing Address - Fax:760-433-2864
Practice Address - Street 1:602 VISTA WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6441
Practice Address - Country:US
Practice Address - Phone:760-433-2800
Practice Address - Fax:760-433-2864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100051332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1557289OtherCALIF. CORP. ID
CA356-6907-6OtherCALIF. EMPL. DEV. ID
CADME00377FMedicaid
CA100051OtherMED DEVICE RETAIL LIC
CA11769OtherMED DEVICE RETL EXEMPTEE
CASR FHB 25-848052OtherCALIFORNIA SELLER PERMIT
CA37373OtherOCEANSIDE BUSINESS LICENS
CAA106676OtherFURNITURE RETAILER LIC
CADME00377FMedicaid