Provider Demographics
NPI:1861664195
Name:HANDS-ON-CARE
Entity Type:Organization
Organization Name:HANDS-ON-CARE
Other - Org Name:HANDS-ON-CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:408-268-8536
Mailing Address - Street 1:499 BLOSSOM HILL RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3302
Mailing Address - Country:US
Mailing Address - Phone:408-268-8536
Mailing Address - Fax:408-268-8727
Practice Address - Street 1:499 BLOSSOM HILL RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3302
Practice Address - Country:US
Practice Address - Phone:408-268-8536
Practice Address - Fax:408-268-8727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7109174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6082220001Medicare NSC
CAZZZ07184ZMedicare PIN