Provider Demographics
NPI:1134779788
Name:THERAPYMED HOME HEALTH SERVICES
Entity type:Organization
Organization Name:THERAPYMED HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUNDER JOE
Authorized Official - Middle Name:B
Authorized Official - Last Name:DE GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-861-1496
Mailing Address - Street 1:151 N SUNRISE AVE
Mailing Address - Street 2:SUITE 1116
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661
Mailing Address - Country:US
Mailing Address - Phone:279-900-8127
Mailing Address - Fax:279-900-8129
Practice Address - Street 1:151 N SUNRISE AVE
Practice Address - Street 2:SUITE 1116
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:279-900-8127
Practice Address - Fax:279-900-8129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2022-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health