Provider Demographics
NPI:1780070227
Name:WHIPMOCHA,INC
Entity type:Organization
Organization Name:WHIPMOCHA,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-581-8304
Mailing Address - Street 1:19808 AHWANEE LN
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4121
Mailing Address - Country:US
Mailing Address - Phone:818-403-1045
Mailing Address - Fax:
Practice Address - Street 1:11447 YOLANDA AVE
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-1818
Practice Address - Country:US
Practice Address - Phone:818-403-1045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197604841310400000X
CA197606601310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility