Provider Demographics
NPI:1689898355
Name:MEDCARE PLUS HOME HEALTH PROVIDER
Entity Type:Organization
Organization Name:MEDCARE PLUS HOME HEALTH PROVIDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:FE
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-523-3966
Mailing Address - Street 1:14111 FREEWAY DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-5822
Mailing Address - Country:US
Mailing Address - Phone:562-407-9350
Mailing Address - Fax:562-407-9341
Practice Address - Street 1:14700 FIRESTONE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-5919
Practice Address - Country:US
Practice Address - Phone:714-523-3966
Practice Address - Fax:714-523-3892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health