Provider Demographics
NPI:1710623046
Name:PRESCOTT SANCHEZ, INC
Entity Type:Organization
Organization Name:PRESCOTT SANCHEZ, INC
Other - Org Name:HOME INSTEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:JENYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-616-6611
Mailing Address - Street 1:200 E DEL MAR BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2564
Mailing Address - Country:US
Mailing Address - Phone:626-616-6611
Mailing Address - Fax:626-486-0800
Practice Address - Street 1:200 E DEL MAR BLVD STE 350
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2564
Practice Address - Country:US
Practice Address - Phone:626-616-6611
Practice Address - Fax:626-486-0800
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRESCOTT SANCHEZ, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-10
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA194700130OtherCA STATE LICENSE