Provider Demographics
NPI:1922240035
Name:REHABFOCUS HOME HEALTH, INC.
Entity Type:Organization
Organization Name:REHABFOCUS HOME HEALTH, INC.
Other - Org Name:FOCUS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:V
Authorized Official - Last Name:O'SULLIVAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:209-524-8700
Mailing Address - Street 1:3340 TULLY RD
Mailing Address - Street 2:SUITE C-8A
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-0838
Mailing Address - Country:US
Mailing Address - Phone:209-524-8700
Mailing Address - Fax:209-524-8701
Practice Address - Street 1:1245 S WINCHESTER BLVD
Practice Address - Street 2:#203
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3908
Practice Address - Country:US
Practice Address - Phone:408-725-1840
Practice Address - Fax:408-725-8840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000714251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
058354Medicare Oscar/Certification