Provider Demographics
NPI:1689136616
Name:HOMEBOUNCE IN-HOME THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:HOMEBOUNCE IN-HOME THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARYDEL
Authorized Official - Middle Name:DELGADO
Authorized Official - Last Name:DEL MAR
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:760-424-9123
Mailing Address - Street 1:22519 HAWTHORNE BLVD SUITE F
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2509
Mailing Address - Country:US
Mailing Address - Phone:760-424-9123
Mailing Address - Fax:
Practice Address - Street 1:22519 HAWTHORNE BLVD SUITE F
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2509
Practice Address - Country:US
Practice Address - Phone:760-424-9123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty