Provider Demographics
NPI:1770789554
Name:LIFESAVERS' HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:LIFESAVERS' HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAYAP
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-876-6280
Mailing Address - Street 1:800 N HARBOR BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3165
Mailing Address - Country:US
Mailing Address - Phone:714-871-7700
Mailing Address - Fax:714-871-7725
Practice Address - Street 1:800 N HARBOR BLVD STE A
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3165
Practice Address - Country:US
Practice Address - Phone:714-871-7700
Practice Address - Fax:714-871-7725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059057OtherMEDICARE
CA0677039Medicaid