Provider Demographics
NPI:1952737629
Name:HHDL OF SANTA CRUZ INC.
Entity Type:Organization
Organization Name:HHDL OF SANTA CRUZ INC.
Other - Org Name:INNOVATIVE CARE ADVOCATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTANT/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-471-5183
Mailing Address - Street 1:135 AVIATION WAY, STE. 11B
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076
Mailing Address - Country:US
Mailing Address - Phone:831-471-5183
Mailing Address - Fax:855-331-1812
Practice Address - Street 1:135 AVIATION WAY
Practice Address - Street 2:SUITE 8B
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-2065
Practice Address - Country:US
Practice Address - Phone:831-471-5183
Practice Address - Fax:855-331-1812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-25
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care