Provider Demographics
NPI:1194418814
Name:BERLANDHOMECARE INC
Entity type:Organization
Organization Name:BERLANDHOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:PARAISO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:619-948-9044
Mailing Address - Street 1:512 BERLAND WAY
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-6425
Mailing Address - Country:US
Mailing Address - Phone:619-205-4600
Mailing Address - Fax:619-947-6464
Practice Address - Street 1:512 BERLAND WAY
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6425
Practice Address - Country:US
Practice Address - Phone:619-205-4600
Practice Address - Fax:619-947-6464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances