Provider Demographics
NPI:1427449206
Name:SHARPLINE HOME CARE LLC
Entity type:Organization
Organization Name:SHARPLINE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:760-340-1909
Mailing Address - Street 1:42800 BOB HOPE DR
Mailing Address - Street 2:209F
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4437
Mailing Address - Country:US
Mailing Address - Phone:760-340-1909
Mailing Address - Fax:760-568-2498
Practice Address - Street 1:42800 BOB HOPE DR
Practice Address - Street 2:209F
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4437
Practice Address - Country:US
Practice Address - Phone:760-340-1909
Practice Address - Fax:760-568-2498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-14
Last Update Date:2015-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA042077253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care