Provider Demographics
NPI:1720283542
Name:ATTENTIVE HOME CARE, INC.
Entity type:Organization
Organization Name:ATTENTIVE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-516-9200
Mailing Address - Street 1:2020 N BROADWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2622
Mailing Address - Country:US
Mailing Address - Phone:714-516-9200
Mailing Address - Fax:714-245-0347
Practice Address - Street 1:2020 N BROADWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2622
Practice Address - Country:US
Practice Address - Phone:714-516-9200
Practice Address - Fax:714-245-0347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health