Provider Demographics
NPI:1356956536
Name:LIFE CARE HOME HEALTH SERVICES, LLC.
Entity type:Organization
Organization Name:LIFE CARE HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAZ
Authorized Official - Middle Name:C
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-975-3493
Mailing Address - Street 1:205 W 5TH AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4849
Mailing Address - Country:US
Mailing Address - Phone:760-975-3493
Mailing Address - Fax:760-975-3581
Practice Address - Street 1:205 W 5TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4849
Practice Address - Country:US
Practice Address - Phone:760-975-3493
Practice Address - Fax:760-975-3581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health