Provider Demographics
NPI:1790963031
Name:DENPTA HOME CARE
Entity Type:Organization
Organization Name:DENPTA HOME CARE
Other - Org Name:DENPTA,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:OBAR
Authorized Official - Suffix:
Authorized Official - Credentials:NA/CHHA
Authorized Official - Phone:661-272-2725
Mailing Address - Street 1:38345 30TH ST E STE E8
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4984
Mailing Address - Country:US
Mailing Address - Phone:661-272-2725
Mailing Address - Fax:661-464-3003
Practice Address - Street 1:38345 30TH ST E STE E8
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4984
Practice Address - Country:US
Practice Address - Phone:661-272-2725
Practice Address - Fax:661-464-3003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENPTA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-08
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00684974/00215010251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health