Provider Demographics
NPI:1255924429
Name:PERSONALIZED HOME HEALTH CARE
Entity type:Organization
Organization Name:PERSONALIZED HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RITCHE JOAQUIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACIAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:747-244-5487
Mailing Address - Street 1:20061 SATICOY ST STE 202
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-2694
Mailing Address - Country:US
Mailing Address - Phone:747-244-5487
Mailing Address - Fax:
Practice Address - Street 1:20061 SATICOY ST STE 202
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-2694
Practice Address - Country:US
Practice Address - Phone:747-244-5487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health