Provider Demographics
NPI:1760449201
Name:TWINS QUALITY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:TWINS QUALITY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DPCS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MARIANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN/BSN/MAN
Authorized Official - Phone:818-265-5088
Mailing Address - Street 1:1341 E COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1462
Mailing Address - Country:US
Mailing Address - Phone:818-265-5088
Mailing Address - Fax:818-553-1075
Practice Address - Street 1:1341 E COLORADO ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1462
Practice Address - Country:US
Practice Address - Phone:818-265-5088
Practice Address - Fax:818-553-1075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
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
CAHHA08319FMedicaid
CA058319Medicare ID - Type UnspecifiedPROVIDER NUMBER