Provider Demographics
NPI:1205596848
Name:OUTSTANDING HOME HEALTH INC.
Entity type:Organization
Organization Name:OUTSTANDING HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:KING NINO
Authorized Official - Middle Name:TADEO
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:RNP
Authorized Official - Phone:818-616-4304
Mailing Address - Street 1:14545 FRIAR ST STE 116
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-4712
Mailing Address - Country:US
Mailing Address - Phone:818-616-4304
Mailing Address - Fax:818-616-4305
Practice Address - Street 1:14545 FRIAR ST STE 116
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-4712
Practice Address - Country:US
Practice Address - Phone:818-616-4304
Practice Address - Fax:818-616-4305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health