Provider Demographics
NPI:1730145491
Name:HOME CARE NETWORK, INC.
Entity Type:Organization
Organization Name:HOME CARE NETWORK, INC.
Other - Org Name:LONG BEACH HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TZONG-YIH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-290-8181
Mailing Address - Street 1:3545 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3941
Mailing Address - Country:US
Mailing Address - Phone:562-290-8181
Mailing Address - Fax:562-290-8484
Practice Address - Street 1:3545 LONG BEACH BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3941
Practice Address - Country:US
Practice Address - Phone:562-290-8181
Practice Address - Fax:562-290-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57172GMedicaid
CAHHA57172GMedicaid