Provider Demographics
NPI:1366105546
Name:HOME VISITING DOCTORS & NURSES COMPANY
Entity type:Organization
Organization Name:HOME VISITING DOCTORS & NURSES COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:REYES
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-272-7109
Mailing Address - Street 1:201 N BRAND BLVD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3590
Mailing Address - Country:US
Mailing Address - Phone:747-272-7109
Mailing Address - Fax:
Practice Address - Street 1:201 N BRAND BLVD UNIT 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3590
Practice Address - Country:US
Practice Address - Phone:747-272-7109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty