Provider Demographics
NPI:1013979137
Name:FLEXICARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:FLEXICARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DPCS
Authorized Official - Prefix:MS
Authorized Official - First Name:FLEURDELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:POZON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-255-8525
Mailing Address - Street 1:5015 EAGLE ROCK BLVD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-2085
Mailing Address - Country:US
Mailing Address - Phone:323-255-8525
Mailing Address - Fax:323-255-8523
Practice Address - Street 1:5015 EAGLE ROCK BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-2085
Practice Address - Country:US
Practice Address - Phone:323-255-8525
Practice Address - Fax:323-255-8523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08169FMedicaid
CAHHA08169FMedicaid