Provider Demographics
NPI:1205932605
Name:PEOPLE'S CARE HOME HEALTH INC
Entity type:Organization
Organization Name:PEOPLE'S CARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-342-7169
Mailing Address - Street 1:13920 CITY CENTER DR
Mailing Address - Street 2:SUITE 230-B
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-5432
Mailing Address - Country:US
Mailing Address - Phone:909-295-6400
Mailing Address - Fax:909-334-4464
Practice Address - Street 1:13920 CITY CENTER DR
Practice Address - Street 2:SUITE 230-B
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-5432
Practice Address - Country:US
Practice Address - Phone:909-295-6400
Practice Address - Fax:909-334-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240000876251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08293FMedicaid
CAHHA08293FMedicaid