Provider Demographics
NPI:1780006114
Name:COMPREHENSIVE HOME HEALTH CARE INC OF SAN DIEGO
Entity Type:Organization
Organization Name:COMPREHENSIVE HOME HEALTH CARE INC OF SAN DIEGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-606-6536
Mailing Address - Street 1:14769 INTERLACHEN TER
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:92082-6673
Mailing Address - Country:US
Mailing Address - Phone:818-606-6536
Mailing Address - Fax:
Practice Address - Street 1:14769 INTERLACHEN TER
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:CA
Practice Address - Zip Code:92082-6673
Practice Address - Country:US
Practice Address - Phone:818-606-6536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health