Provider Demographics
NPI:1699464461
Name:1 ACT HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:1 ACT HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA TERESA
Authorized Official - Middle Name:V
Authorized Official - Last Name:TAGDULANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-364-7079
Mailing Address - Street 1:15480 ARROW HWY STE 205
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-1863
Mailing Address - Country:US
Mailing Address - Phone:626-364-7079
Mailing Address - Fax:626-889-6518
Practice Address - Street 1:15480 ARROW HWY STE 205
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-1863
Practice Address - Country:US
Practice Address - Phone:626-364-7079
Practice Address - Fax:626-889-6518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health