Provider Demographics
NPI:1801268743
Name:COLONIAL HOME CARE SERVICES
Entity type:Organization
Organization Name:COLONIAL HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BERTAINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-615-8728
Mailing Address - Street 1:50 CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-2358
Mailing Address - Country:US
Mailing Address - Phone:714-615-8728
Mailing Address - Fax:
Practice Address - Street 1:326 W KATELLA AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-4756
Practice Address - Country:US
Practice Address - Phone:714-289-7220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care