Provider Demographics
NPI:1922477975
Name:NATHAN O OGBATUE
Entity Type:Organization
Organization Name:NATHAN O OGBATUE
Other - Org Name:CALIFORNIA HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBATUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-352-2300
Mailing Address - Street 1:11860 MAGNOLIA AVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-7111
Mailing Address - Country:US
Mailing Address - Phone:951-352-2300
Mailing Address - Fax:951-352-2333
Practice Address - Street 1:11860 MAGNOLIA AVE
Practice Address - Street 2:SUITE J
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-7111
Practice Address - Country:US
Practice Address - Phone:951-352-2300
Practice Address - Fax:951-352-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health