Provider Demographics
NPI:1891532610
Name:DANIEL ALDA JR HOME HEALTH LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:DANIEL ALDA JR HOME HEALTH LIMITED LIABILITY COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CAREGIVER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDA
Authorized Official - Suffix:JR
Authorized Official - Credentials:EXEMPTFROM LICENSURE
Authorized Official - Phone:909-507-1794
Mailing Address - Street 1:11001 BENTON ST
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3102
Mailing Address - Country:US
Mailing Address - Phone:909-507-1794
Mailing Address - Fax:
Practice Address - Street 1:11001 BENTON ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3102
Practice Address - Country:US
Practice Address - Phone:909-713-4647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H0ME HEALTHCARE L L C DANIEL ALDA JR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-10
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health