Provider Demographics
NPI:1851647374
Name:HOME CARE ASSISTANCE
Entity type:Organization
Organization Name:HOME CARE ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-462-6900
Mailing Address - Street 1:148 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1035
Mailing Address - Country:US
Mailing Address - Phone:650-462-6900
Mailing Address - Fax:888-385-8427
Practice Address - Street 1:148 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-1035
Practice Address - Country:US
Practice Address - Phone:650-462-6900
Practice Address - Fax:888-385-8427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health