Provider Demographics
NPI:1891212270
Name:DOVER HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:DOVER HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DPCS
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:ALLISE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-777-9899
Mailing Address - Street 1:167 N 3RD AVE STE C
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-6052
Mailing Address - Country:US
Mailing Address - Phone:855-777-9899
Mailing Address - Fax:323-544-4985
Practice Address - Street 1:167 N 3RD AVE STE C
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-6052
Practice Address - Country:US
Practice Address - Phone:855-777-9899
Practice Address - Fax:323-544-4985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health