Provider Demographics
NPI: | 1568635811 |
---|---|
Name: | A-1 HEALTHCARE MANAGEMENT |
Entity type: | Organization |
Organization Name: | A-1 HEALTHCARE MANAGEMENT |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF OPERATING OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BINITA |
Authorized Official - Middle Name: | T |
Authorized Official - Last Name: | TRIVEDI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 562-400-0244 |
Mailing Address - Street 1: | 5011 ARGOSY AVE |
Mailing Address - Street 2: | SUITE 4 |
Mailing Address - City: | HUNTINGTON BEACH |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92649-1002 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 714-650-8519 |
Mailing Address - Fax: | 714-650-8520 |
Practice Address - Street 1: | 5011 ARGOSY AVE |
Practice Address - Street 2: | SUITE 4 |
Practice Address - City: | HUNTINGTON BEACH |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92649-1002 |
Practice Address - Country: | US |
Practice Address - Phone: | 714-650-8519 |
Practice Address - Fax: | 714-650-8520 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-04-08 |
Last Update Date: | 2020-04-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | 550000589 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |