Provider Demographics
NPI:1669774766
Name:SOUTH COAST HOME HEALTH, INC.
Entity type:Organization
Organization Name:SOUTH COAST HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ROJAS
Authorized Official - Last Name:AFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-277-3142
Mailing Address - Street 1:3914 MURPHY CANYON RD
Mailing Address - Street 2:SUITE A105
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4414
Mailing Address - Country:US
Mailing Address - Phone:858-277-3142
Mailing Address - Fax:858-277-3145
Practice Address - Street 1:3914 MURPHY CANYON RD
Practice Address - Street 2:SUITE A105
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4414
Practice Address - Country:US
Practice Address - Phone:858-277-3142
Practice Address - Fax:858-277-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health