Provider Demographics
NPI:1528067931
Name:LAS POSAS HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:LAS POSAS HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:P
Authorized Official - Last Name:PIZARRO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:805-484-7284
Mailing Address - Street 1:1601 CARMEN DR STE 202
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3100
Mailing Address - Country:US
Mailing Address - Phone:805-484-7284
Mailing Address - Fax:805-484-7294
Practice Address - Street 1:1601 CARMEN DR STE 202
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3100
Practice Address - Country:US
Practice Address - Phone:805-484-7284
Practice Address - Fax:805-484-7294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050000498251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA70281FMedicaid
CAHHA70281FMedicaid