Provider Demographics
NPI:1912280611
Name:CARITAS HOME HEALTH PROVIDERS INC.
Entity Type:Organization
Organization Name:CARITAS HOME HEALTH PROVIDERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-557-8777
Mailing Address - Street 1:209 E ALAMEDA AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2674
Mailing Address - Country:US
Mailing Address - Phone:818-557-8777
Mailing Address - Fax:818-557-8788
Practice Address - Street 1:209 E ALAMEDA AVE STE 203
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2674
Practice Address - Country:US
Practice Address - Phone:818-557-8777
Practice Address - Fax:818-557-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000942251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health