Provider Demographics
NPI:1700494762
Name:AUTHORIZED HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:AUTHORIZED HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUGUSTA
Authorized Official - Middle Name:ROSETTA
Authorized Official - Last Name:BOHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-429-9857
Mailing Address - Street 1:12410 BURBANK BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-4732
Mailing Address - Country:US
Mailing Address - Phone:818-821-3006
Mailing Address - Fax:818-821-3024
Practice Address - Street 1:12410 BURBANK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-4732
Practice Address - Country:US
Practice Address - Phone:818-821-3006
Practice Address - Fax:818-821-3024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty