Provider Demographics
NPI:1386068351
Name:TRUSTED CARE HOME HEALTH CORP
Entity type:Organization
Organization Name:TRUSTED CARE HOME HEALTH CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-495-9702
Mailing Address - Street 1:1505 4TH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2347
Mailing Address - Country:US
Mailing Address - Phone:424-322-7262
Mailing Address - Fax:424-322-7251
Practice Address - Street 1:1505 4TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2347
Practice Address - Country:US
Practice Address - Phone:424-322-7262
Practice Address - Fax:424-322-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health