Provider Demographics
NPI:1407848955
Name:MEDCARE PLUS HOME HEALTH PROVIDERS, INC
Entity type:Organization
Organization Name:MEDCARE PLUS HOME HEALTH PROVIDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:P
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-967-5888
Mailing Address - Street 1:954 NORTH GRAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-2045
Mailing Address - Country:US
Mailing Address - Phone:626-967-5888
Mailing Address - Fax:626-967-5880
Practice Address - Street 1:954 NORTH GRAND AVENUE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2045
Practice Address - Country:US
Practice Address - Phone:626-967-5888
Practice Address - Fax:626-967-5880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001429251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08176FMedicaid
CAHHA08176FMedicaid