Provider Demographics
NPI:1891997466
Name:HEALTHNET HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:HEALTHNET HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKIMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-846-8486
Mailing Address - Street 1:2025 GLENOAKS BLVD.,
Mailing Address - Street 2:SUITE #203
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-2809
Mailing Address - Country:US
Mailing Address - Phone:818-846-8483
Mailing Address - Fax:818-846-8486
Practice Address - Street 1:2025 GLENOAKS BLVD.,
Practice Address - Street 2:SUITE #203
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-2809
Practice Address - Country:US
Practice Address - Phone:818-846-8483
Practice Address - Fax:818-846-8486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000336251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058461Medicare Oscar/Certification