Avicenna Home Care Agency Llc

LBN: Avicenna Home Care Agency Llc
Avicenna Home Care Agency Llc is an health care organization with primary practice located at 8273 White Oak Ave Ste P , Rancho Cucamonga CA 91730-7671. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Avicenna Home Care Agency Llc can be contacted via phone (909) 329-2699, or through Kabbaj, Abdoullah via phone (909) 319-7475.

Contact Information

Primary practice address
8273 White Oak Ave Ste P Rancho Cucamonga CA 91730-7671
Phone: (909) 329-2699
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kabbaj, Abdoullah
Phone: (909) 319-7475

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1003573304
LBN Legal business name Avicenna Home Care Agency Llc
DBA Doing business as
Authorized official Kabbaj, Abdoullah
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2021
Last updated Nov 21st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003573304 NPPES
California Other 364700107 CDSS - HOME CARE SERVICES BUREAU

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