Provider Demographics
NPI:1184288680
Name:CHAJINEL HOME CARE SERVICE LLC
Entity type:Organization
Organization Name:CHAJINEL HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONGUITUD
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:650-741-6107
Mailing Address - Street 1:208 CYPRESS AVENUE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080
Mailing Address - Country:US
Mailing Address - Phone:650-219-5049
Mailing Address - Fax:650-754-6346
Practice Address - Street 1:208 CYPRESS AVENUE
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-9408
Practice Address - Country:US
Practice Address - Phone:650-219-5049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care