Provider Demographics
NPI:1104403872
Name:STANDARD HOME HEALTH AND HOSPICE CARE, INC
Entity type:Organization
Organization Name:STANDARD HOME HEALTH AND HOSPICE CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BONN ANTHONY
Authorized Official - Middle Name:CERVANTES
Authorized Official - Last Name:PAJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-844-7442
Mailing Address - Street 1:1730 S AMPHLETT BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2712
Mailing Address - Country:US
Mailing Address - Phone:650-844-7442
Mailing Address - Fax:650-523-4444
Practice Address - Street 1:1730 S AMPHLETT BLVD STE 209
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2712
Practice Address - Country:US
Practice Address - Phone:650-844-7442
Practice Address - Fax:650-523-4444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health