Provider Demographics
NPI:1063802130
Name:HOME HEALTHCARE OF RIVERSIDE COUNTY INC
Entity type:Organization
Organization Name:HOME HEALTHCARE OF RIVERSIDE COUNTY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-239-4244
Mailing Address - Street 1:24640 JEFFERSON AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9026
Mailing Address - Country:US
Mailing Address - Phone:951-239-4244
Mailing Address - Fax:951-239-4249
Practice Address - Street 1:24640 JEFFERSON AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9026
Practice Address - Country:US
Practice Address - Phone:951-239-4244
Practice Address - Fax:951-239-4249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health