Provider Demographics
NPI:1710516430
Name:AT YOUR SERVICE HOME HEALTH AGENCY INC.
Entity Type:Organization
Organization Name:AT YOUR SERVICE HOME HEALTH AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA NIMFA
Authorized Official - Middle Name:YAMSUAN
Authorized Official - Last Name:GAMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-714-6071
Mailing Address - Street 1:6300 VILLAGE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3002
Mailing Address - Country:US
Mailing Address - Phone:925-361-0570
Mailing Address - Fax:925-361-0466
Practice Address - Street 1:6300 VILLAGE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3002
Practice Address - Country:US
Practice Address - Phone:925-361-0570
Practice Address - Fax:925-361-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-04
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health