Provider Demographics
NPI:1679840771
Name:HEBREWS HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:HEBREWS HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KALYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-595-7401
Mailing Address - Street 1:8816 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3328
Mailing Address - Country:US
Mailing Address - Phone:323-595-7401
Mailing Address - Fax:323-750-3346
Practice Address - Street 1:21407 MARTIN STREET
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-1726
Practice Address - Country:US
Practice Address - Phone:323-595-7401
Practice Address - Fax:323-750-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health