Provider Demographics
NPI:1689350563
Name:CALIFORNIA UNITED HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:CALIFORNIA UNITED HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUTALE
Authorized Official - Middle Name:
Authorized Official - Last Name:KALULU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-302-9922
Mailing Address - Street 1:3381 SHADOW TREE DRIVE 332
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834
Mailing Address - Country:US
Mailing Address - Phone:707-302-9922
Mailing Address - Fax:
Practice Address - Street 1:11 CORBETT CT
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2500
Practice Address - Country:US
Practice Address - Phone:707-302-9922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)