Provider Demographics
NPI:1912675596
Name:C S HOMECARE SERVICE LLC
Entity type:Organization
Organization Name:C S HOMECARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-736-9171
Mailing Address - Street 1:12501 PHILADELPHIA ST STE 113
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3900
Mailing Address - Country:US
Mailing Address - Phone:310-736-9171
Mailing Address - Fax:
Practice Address - Street 1:12501 PHILADELPHIA ST STE 113
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3900
Practice Address - Country:US
Practice Address - Phone:310-736-9171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care