Provider Demographics
NPI:1336762129
Name:AMICABLE HOMECARE INC.
Entity Type:Organization
Organization Name:AMICABLE HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-581-1359
Mailing Address - Street 1:13819 SAN ANTONIO DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-4034
Mailing Address - Country:US
Mailing Address - Phone:562-868-8881
Mailing Address - Fax:
Practice Address - Street 1:13819 SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4034
Practice Address - Country:US
Practice Address - Phone:562-868-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty