Provider Demographics
NPI:1851327167
Name:MASTER CHIEF INC.
Entity Type:Organization
Organization Name:MASTER CHIEF INC.
Other - Org Name:RESPIRATORY THERAPY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-529-8690
Mailing Address - Street 1:9142 SONRISA ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-2814
Mailing Address - Country:US
Mailing Address - Phone:562-529-8690
Mailing Address - Fax:562-529-3986
Practice Address - Street 1:9142 SONRISA ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2814
Practice Address - Country:US
Practice Address - Phone:562-529-8690
Practice Address - Fax:562-529-3986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45405332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00362FMedicaid
CA=========OtherTAX ID NUMBER
CA5619190001Medicare NSC
CA=========OtherTAX ID NUMBER