Provider Demographics
NPI:1780828848
Name:A HEART FOR SENIORS, INC.
Entity Type:Organization
Organization Name:A HEART FOR SENIORS, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAYDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:POBLETE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CSA
Authorized Official - Phone:1714-444-4880
Mailing Address - Street 1:1500 ADAMS AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3819
Mailing Address - Country:US
Mailing Address - Phone:171-444-4488
Mailing Address - Fax:171-444-4488
Practice Address - Street 1:1500 ADAMS AVE STE 304
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3819
Practice Address - Country:US
Practice Address - Phone:171-444-4488
Practice Address - Fax:171-444-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care