Provider Demographics
NPI: | 1679025027 |
---|---|
Name: | HEART AND HOME CARE INC. |
Entity type: | Organization |
Organization Name: | HEART AND HOME CARE INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF EXECUTIVE OFFICER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | SANDRA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CASSINA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BS |
Authorized Official - Phone: | 530-223-6060 |
Mailing Address - Street 1: | 850 INDUSTRIAL ST STE 400 |
Mailing Address - Street 2: | |
Mailing Address - City: | REDDING |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 96002-0501 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 530-223-6060 |
Mailing Address - Fax: | 530-223-6166 |
Practice Address - Street 1: | 850 INDUSTRIAL ST STE 400 |
Practice Address - Street 2: | |
Practice Address - City: | REDDING |
Practice Address - State: | CA |
Practice Address - Zip Code: | 96002-0501 |
Practice Address - Country: | US |
Practice Address - Phone: | 530-223-6060 |
Practice Address - Fax: | 530-223-6166 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-11-02 |
Last Update Date: | 2016-11-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | 454700002 | 253Z00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care |