Provider Demographics
NPI:1699094003
Name:WARM HEART HOME HEALTH, INC
Entity type:Organization
Organization Name:WARM HEART HOME HEALTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF LEGAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-441-8771
Mailing Address - Street 1:1810 GILLESPIE WAY STE 207
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-0920
Mailing Address - Country:US
Mailing Address - Phone:619-660-8881
Mailing Address - Fax:619-660-8882
Practice Address - Street 1:1810 GILLESPIE WAY STE 207
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-0920
Practice Address - Country:US
Practice Address - Phone:619-660-8881
Practice Address - Fax:619-660-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77169251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550001427OtherCALIFORNIA DEPT OF HEALTH LICENSE
CA059303Medicare PIN