Provider Demographics
NPI:1902848211
Name:SYNERGY HEALTH COMPANIES, INC.
Entity Type:Organization
Organization Name:SYNERGY HEALTH COMPANIES, INC.
Other - Org Name:INTERIM HEALTHCARE OF CENTRAL CA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-577-4625
Mailing Address - Street 1:1521 N CARPENTER RD
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95351-1147
Mailing Address - Country:US
Mailing Address - Phone:209-577-4625
Mailing Address - Fax:209-544-8895
Practice Address - Street 1:1521 N CARPENTER RD
Practice Address - Street 2:SUITE D-1
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-1147
Practice Address - Country:US
Practice Address - Phone:209-577-4625
Practice Address - Fax:209-544-8895
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNERGY HEALTH COMPANIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-12
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100000457251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57171FMedicaid
CA557171Medicare Oscar/Certification