Provider Demographics
NPI:1053581892
Name:HOME HEALTH CARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:HOME HEALTH CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:C
Authorized Official - Last Name:QUERUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-373-0637
Mailing Address - Street 1:9007 ARROW RTE STE 100
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4461
Mailing Address - Country:US
Mailing Address - Phone:909-373-0637
Mailing Address - Fax:909-373-0654
Practice Address - Street 1:9007 ARROW RTE STE 100
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4461
Practice Address - Country:US
Practice Address - Phone:909-373-0637
Practice Address - Fax:909-373-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000495251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health