Providence Home Health Inland Empire

LBN: St. Joseph Health System Home Care Services Llc
Providence Home Health Inland Empire is an health care organization with primary practice located at 3201 W Temple Ave Ste 200 , Pomona CA 91768-3280. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. St. Joseph Health System Home Care Services Llc can be contacted via phone (909) 895-8841, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
3201 W Temple Ave Ste 200 Pomona CA 91768-3280
Fax: (866) 401-1191
Website:
Authorized official contact:
Name: Anderson, Donald W

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 980001046 California

Profile Details

NPI number 1649475948
LBN Legal business name St. Joseph Health System Home Care Services Llc
DBA Doing business as Providence Home Health Inland Empire
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Feb 5th, 2024 - about 2 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 1649475948 NPPES
California MEDICAID HHA57718F

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