Provider Demographics
NPI:1457085193
Name:SURFLINER HOME CARE SERVICES
Entity Type:Organization
Organization Name:SURFLINER HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALOMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-872-4898
Mailing Address - Street 1:4 SWALLOWTAIL
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-1941
Mailing Address - Country:US
Mailing Address - Phone:714-454-2123
Mailing Address - Fax:
Practice Address - Street 1:4 SWALLOWTAIL
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-1941
Practice Address - Country:US
Practice Address - Phone:714-454-2123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-09
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health