Provider Demographics
NPI:1972862357
Name:TOTALCARE HOME HEALTH
Entity Type:Organization
Organization Name:TOTALCARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADOKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-941-7400
Mailing Address - Street 1:7365 CARNELIAN ST
Mailing Address - Street 2:SUITE 113
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1158
Mailing Address - Country:US
Mailing Address - Phone:909-941-7911
Mailing Address - Fax:909-941-7411
Practice Address - Street 1:7365 CARNELIAN ST
Practice Address - Street 2:SUITE 113
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1158
Practice Address - Country:US
Practice Address - Phone:909-941-7911
Practice Address - Fax:909-941-7411
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREEDOM MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health