Provider Demographics
NPI:1053522664
Name:PRIVILEGE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:PRIVILEGE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-846-0040
Mailing Address - Street 1:502 S VERDUGO DR
Mailing Address - Street 2:#2
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2344
Mailing Address - Country:US
Mailing Address - Phone:818-846-0040
Mailing Address - Fax:818-846-0060
Practice Address - Street 1:502 S VERDUGO DR
Practice Address - Street 2:#2
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2344
Practice Address - Country:US
Practice Address - Phone:818-846-0040
Practice Address - Fax:818-846-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000826251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059086Medicare Oscar/Certification