Provider Demographics
NPI:1760657761
Name:CARELINK HOME HEALTH INC
Entity Type:Organization
Organization Name:CARELINK HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAGSA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-230-1211
Mailing Address - Street 1:187 E WILBUR RD
Mailing Address - Street 2:STE 16
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5572
Mailing Address - Country:US
Mailing Address - Phone:805-230-1211
Mailing Address - Fax:805-230-1220
Practice Address - Street 1:187 E WILBUR RD
Practice Address - Street 2:STE 16
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5572
Practice Address - Country:US
Practice Address - Phone:805-230-1211
Practice Address - Fax:805-230-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-9054Medicaid
CA05-9054Medicaid