Provider Demographics
NPI:1689730251
Name:CALIFORNIA HEALTHCARE STAFFING, INC
Entity Type:Organization
Organization Name:CALIFORNIA HEALTHCARE STAFFING, INC
Other - Org Name:CHS HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:EDROSA
Authorized Official - Last Name:SESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-530-8743
Mailing Address - Street 1:2525 CHERRY AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-2054
Mailing Address - Country:US
Mailing Address - Phone:562-256-1640
Mailing Address - Fax:310-530-8763
Practice Address - Street 1:23545 CRENSHAW BLVD
Practice Address - Street 2:SUITE #203
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5218
Practice Address - Country:US
Practice Address - Phone:310-530-8743
Practice Address - Fax:310-530-8763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001316251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08078FMedicaid
CAHHA08078FMedicaid