Provider Demographics
NPI:1750830725
Name:WARM SPRINGS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:WARM SPRINGS HOME HEALTH CARE INC
Other - Org Name:WARM SPRINGS HOME HEALTH CARE OF OREGON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALPHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-832-7031
Mailing Address - Street 1:10570 SE WASHINGTON ST
Mailing Address - Street 2:SUITE 213
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-2846
Mailing Address - Country:US
Mailing Address - Phone:503-832-7031
Mailing Address - Fax:503-926-9507
Practice Address - Street 1:10570 SE WASHINGTON ST
Practice Address - Street 2:SUITE 213
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216
Practice Address - Country:US
Practice Address - Phone:503-832-7031
Practice Address - Fax:503-926-9507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health