Provider Demographics
NPI:1528153244
Name:HUMAN TOUCH HOME HEALTH CARE AGENCY, INC.
Entity type:Organization
Organization Name:HUMAN TOUCH HOME HEALTH CARE AGENCY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAADA
Authorized Official - Middle Name:
Authorized Official - Last Name:KELIFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-247-8165
Mailing Address - Street 1:3629 N SEPULVEDA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3632
Mailing Address - Country:US
Mailing Address - Phone:424-247-8165
Mailing Address - Fax:424-247-8830
Practice Address - Street 1:1122 W AVENUE L12 STE 103
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7051
Practice Address - Country:US
Practice Address - Phone:661-726-4200
Practice Address - Fax:661-726-4241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001010251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57677FMedicaid
CA059653OtherMEDICARE