Provider Demographics
NPI:1194762179
Name:BETTER HEALTH HOME CARE
Entity type:Organization
Organization Name:BETTER HEALTH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:ABESAMIS
Authorized Official - Last Name:TANCHOCO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-581-3182
Mailing Address - Street 1:1535 W MERCED AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3404
Mailing Address - Country:US
Mailing Address - Phone:626-581-3182
Mailing Address - Fax:626-810-7016
Practice Address - Street 1:1535 W MERCED AVE STE 204
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3404
Practice Address - Country:US
Practice Address - Phone:626-581-3182
Practice Address - Fax:626-699-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA057753Medicare ID - Type Unspecified