Provider Demographics
NPI:1891093571
Name:QUEST HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:QUEST HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:MARCOS
Authorized Official - Last Name:SANTA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-993-5200
Mailing Address - Street 1:8700 RESEDA BLVD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4041
Mailing Address - Country:US
Mailing Address - Phone:818-993-5200
Mailing Address - Fax:818-993-5225
Practice Address - Street 1:10660 WHITE OAK AVE STE 200
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5956
Practice Address - Country:US
Practice Address - Phone:818-993-5200
Practice Address - Fax:818-993-5225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000245251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08365FMedicaid