Provider Demographics
NPI:1265875157
Name:SANTA BARBARA HOME HEALTH
Entity type:Organization
Organization Name:SANTA BARBARA HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PATIENT CARE DIRECTOR/NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:R
Authorized Official - Last Name:DIRKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:805-259-3177
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93102-0435
Mailing Address - Country:US
Mailing Address - Phone:805-259-3177
Mailing Address - Fax:
Practice Address - Street 1:22 W MICHELTORENA ST STE B
Practice Address - Street 2:SHAWNANDSHERI@COX.NET
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6525
Practice Address - Country:US
Practice Address - Phone:805-259-3177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health