Provider Demographics
NPI:1750659645
Name:DIABLO HOME CARE INC
Entity Type:Organization
Organization Name:DIABLO HOME CARE INC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-933-9737
Mailing Address - Street 1:1151 W ROBINHOOD DR
Mailing Address - Street 2:STE B7
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5625
Mailing Address - Country:US
Mailing Address - Phone:209-933-9737
Mailing Address - Fax:209-457-9045
Practice Address - Street 1:1151 W ROBINHOOD DR
Practice Address - Street 2:STE B7
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5625
Practice Address - Country:US
Practice Address - Phone:209-933-9737
Practice Address - Fax:209-457-9045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1100101703253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care