Provider Demographics
NPI:1679905996
Name:PIONEER HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:PIONEER HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:PHN
Authorized Official - Phone:760-872-4663
Mailing Address - Street 1:363 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-2603
Mailing Address - Country:US
Mailing Address - Phone:760-872-4663
Mailing Address - Fax:760-872-4665
Practice Address - Street 1:363 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-2603
Practice Address - Country:US
Practice Address - Phone:760-872-4663
Practice Address - Fax:760-872-4665
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIONEER HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550003343251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based