Provider Demographics
NPI:1952554115
Name:LIVING SPRING HOME CARE,INC.
Entity Type:Organization
Organization Name:LIVING SPRING HOME CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALDO
Authorized Official - Middle Name:ENRIQUEZ
Authorized Official - Last Name:DELA VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-386-9959
Mailing Address - Street 1:37600 CENTRAL CT
Mailing Address - Street 2:SUITE 264F
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-3455
Mailing Address - Country:US
Mailing Address - Phone:510-863-7105
Mailing Address - Fax:
Practice Address - Street 1:37600 CENTRAL CT
Practice Address - Street 2:SUITE 264F
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-3455
Practice Address - Country:US
Practice Address - Phone:510-863-7105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health