Provider Demographics
NPI:1700190246
Name:CAREMETRIX HOME HEALTH LLC
Entity Type:Organization
Organization Name:CAREMETRIX HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO, ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:818-812-9693
Mailing Address - Street 1:22024 LASSEN STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3600
Mailing Address - Country:US
Mailing Address - Phone:818-812-9693
Mailing Address - Fax:818-812-9698
Practice Address - Street 1:22024 LASSEN STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-3600
Practice Address - Country:US
Practice Address - Phone:818-812-9693
Practice Address - Fax:818-812-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CA550001516251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health