Provider Demographics
NPI:1245868546
Name:HSU HOME CARE LLC
Entity type:Organization
Organization Name:HSU HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUI-TEH
Authorized Official - Middle Name:
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:928-587-5269
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:POINT ARENA
Mailing Address - State:CA
Mailing Address - Zip Code:95468-0326
Mailing Address - Country:US
Mailing Address - Phone:928-587-5269
Mailing Address - Fax:
Practice Address - Street 1:24000 PINE REEF RD
Practice Address - Street 2:
Practice Address - City:POINT ARENA
Practice Address - State:CA
Practice Address - Zip Code:95468-8836
Practice Address - Country:US
Practice Address - Phone:928-587-5269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care