Provider Demographics
NPI:1548723059
Name:ENHANCE HOME HEALTH SERVICES
Entity type:Organization
Organization Name:ENHANCE HOME HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NILISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKKLINENI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:925-804-6551
Mailing Address - Street 1:6101 BOLLINGER CANYON RD STE 380
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5118
Mailing Address - Country:US
Mailing Address - Phone:925-804-6551
Mailing Address - Fax:925-804-6532
Practice Address - Street 1:6101 BOLLINGER CANYON RD STE 380&381
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5108
Practice Address - Country:US
Practice Address - Phone:925-804-6551
Practice Address - Fax:925-804-6532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health