Provider Demographics
NPI:1811383607
Name:SPRING RIVER HOME HEALTH
Entity Type:Organization
Organization Name:SPRING RIVER HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:408-909-4188
Mailing Address - Street 1:1777 HAMILTON AVE
Mailing Address - Street 2:SUITE 2180
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5430
Mailing Address - Country:US
Mailing Address - Phone:408-909-4188
Mailing Address - Fax:
Practice Address - Street 1:1777 HAMILTON AVE
Practice Address - Street 2:SUITE 2180
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5430
Practice Address - Country:US
Practice Address - Phone:408-909-4188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health