Provider Demographics
NPI:1982949053
Name:ASSIST ON CALL PROFESSIONAL IN-HOME CARE SERVICES, INC,
Entity Type:Organization
Organization Name:ASSIST ON CALL PROFESSIONAL IN-HOME CARE SERVICES, INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-969-7634
Mailing Address - Street 1:2100 MONUMENT BLVD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3489
Mailing Address - Country:US
Mailing Address - Phone:925-969-7634
Mailing Address - Fax:
Practice Address - Street 1:2100 MONUMENT BLVD
Practice Address - Street 2:SUITE 14
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3489
Practice Address - Country:US
Practice Address - Phone:925-969-7634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health