Provider Demographics
NPI:1003228354
Name:HUMMINGBIRD HOME HEALTH LLC
Entity type:Organization
Organization Name:HUMMINGBIRD HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PILLARI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:408-915-6854
Mailing Address - Street 1:PO BOX 1658
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95031-1658
Mailing Address - Country:US
Mailing Address - Phone:408-915-6854
Mailing Address - Fax:408-317-0322
Practice Address - Street 1:236 N SANTA CRUZ AVE
Practice Address - Street 2:SUITE 237A
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-7244
Practice Address - Country:US
Practice Address - Phone:408-915-6854
Practice Address - Fax:408-317-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201413910234251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health