Provider Demographics
NPI:1194911610
Name:ALMITY INTERNATIONAL HOME HEALTH CARE AGENCY. INC
Entity type:Organization
Organization Name:ALMITY INTERNATIONAL HOME HEALTH CARE AGENCY. INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:A
Authorized Official - Last Name:APIAFI
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MS
Authorized Official - Phone:951-213-4776
Mailing Address - Street 1:3741 MERCED DRIVE UNIT L
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-7121
Mailing Address - Country:US
Mailing Address - Phone:951-213-4776
Mailing Address - Fax:951-643-0695
Practice Address - Street 1:3741 MERCED DRIVE UNIT L
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-7121
Practice Address - Country:US
Practice Address - Phone:951-213-4776
Practice Address - Fax:951-643-0695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001285251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059030OtherMEDICARE PTAN