Provider Demographics
NPI:1386934644
Name:PIONEER HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:PIONEER HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-323-9562
Mailing Address - Street 1:20110 PIONEER BLVD
Mailing Address - Street 2:UNIT C
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7402
Mailing Address - Country:US
Mailing Address - Phone:714-924-6400
Mailing Address - Fax:714-924-6499
Practice Address - Street 1:20110 PIONEER BLVD
Practice Address - Street 2:UNIT C
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7402
Practice Address - Country:US
Practice Address - Phone:714-924-6400
Practice Address - Fax:714-924-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health