Provider Demographics
NPI:1972991859
Name:ASSISTED HOME CARE, INC.
Entity Type:Organization
Organization Name:ASSISTED HOME CARE, INC.
Other - Org Name:ASSISTED HOME HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-371-9988
Mailing Address - Street 1:72 MOODY COURT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6067
Mailing Address - Country:US
Mailing Address - Phone:805-371-9988
Mailing Address - Fax:805-371-9987
Practice Address - Street 1:3731 WILSHIRE BLVD
Practice Address - Street 2:SUITE 516B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2830
Practice Address - Country:US
Practice Address - Phone:213-355-3511
Practice Address - Fax:213-355-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-31
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPCO1634GMedicaid
CA051634Medicare Oscar/Certification