Provider Demographics
NPI:1821089830
Name:ALDEN HOME HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:ALDEN HOME HEALTH CARE CORPORATION
Other - Org Name:ALDEN HOME HEALTH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FROYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MN, RN
Authorized Official - Phone:661-266-8560
Mailing Address - Street 1:1061 W AVENUE M14
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1430
Mailing Address - Country:US
Mailing Address - Phone:661-266-8560
Mailing Address - Fax:661-266-8607
Practice Address - Street 1:1061 W AVENUE M14
Practice Address - Street 2:SUITE A
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-1430
Practice Address - Country:US
Practice Address - Phone:661-266-8560
Practice Address - Fax:661-266-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001151251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058023Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID