Provider Demographics
NPI:1740746916
Name:KAMILA HOME HEALTH INC
Entity type:Organization
Organization Name:KAMILA HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARIZZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENCARNACION
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:657-251-0541
Mailing Address - Street 1:12900A GARDEN GROVE BLVD SUITE 214B
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-2023
Mailing Address - Country:US
Mailing Address - Phone:657-251-0541
Mailing Address - Fax:657-251-0569
Practice Address - Street 1:12900A GARDEN GROVE BLVD SUITE 214B
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-2023
Practice Address - Country:US
Practice Address - Phone:657-251-0541
Practice Address - Fax:657-251-0569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health