Provider Demographics
NPI:1215974092
Name:CALIFORNIA HOME HEALTH SPECIALIST, INC.
Entity type:Organization
Organization Name:CALIFORNIA HOME HEALTH SPECIALIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA ALDA FARREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:FARREN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-965-2711
Mailing Address - Street 1:18856 AMAR RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-7103
Mailing Address - Country:US
Mailing Address - Phone:626-965-2711
Mailing Address - Fax:
Practice Address - Street 1:18856 AMAR RD
Practice Address - Street 2:SUITE 12
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-7103
Practice Address - Country:US
Practice Address - Phone:626-965-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health