Provider Demographics
NPI:1720758576
Name:KOLIBRI HOME HEALTH LLC
Entity type:Organization
Organization Name:KOLIBRI HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:LUZZATTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-221-1686
Mailing Address - Street 1:6817 WESTMORE WAY
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1539
Mailing Address - Country:US
Mailing Address - Phone:916-221-1686
Mailing Address - Fax:
Practice Address - Street 1:3353 BRADSHAW RD STE 204
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2610
Practice Address - Country:US
Practice Address - Phone:916-668-9801
Practice Address - Fax:916-269-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health