Provider Demographics
NPI:1265722599
Name:TOTAL CARE HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:TOTAL CARE HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:IDOWU
Authorized Official - Last Name:IRUMUNDOMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-285-0432
Mailing Address - Street 1:4201 LONG BEACH BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2021
Mailing Address - Country:US
Mailing Address - Phone:562-285-0432
Mailing Address - Fax:562-285-0521
Practice Address - Street 1:235 E BROADWAY
Practice Address - Street 2:SUITE 424
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-3162
Practice Address - Country:US
Practice Address - Phone:562-285-0432
Practice Address - Fax:562-285-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000737251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health