Provider Demographics
NPI:1588981377
Name:MANAGED HOMECARE INC
Entity type:Organization
Organization Name:MANAGED HOMECARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-341-0782
Mailing Address - Street 1:4740 GREEN RIVER RD STE 216
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92878-9435
Mailing Address - Country:US
Mailing Address - Phone:951-341-0782
Mailing Address - Fax:951-341-3638
Practice Address - Street 1:4740 GREEN RIVER RD STE 216
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92878-9435
Practice Address - Country:US
Practice Address - Phone:951-341-0782
Practice Address - Fax:951-341-3638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health