Provider Demographics
NPI:1972734739
Name:CINERGY HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:CINERGY HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NERISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-966-1200
Mailing Address - Street 1:629 S 1ST AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3511
Mailing Address - Country:US
Mailing Address - Phone:626-966-1200
Mailing Address - Fax:626-966-1225
Practice Address - Street 1:629 S 1ST AVE
Practice Address - Street 2:SUITE B
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3511
Practice Address - Country:US
Practice Address - Phone:626-966-1200
Practice Address - Fax:626-966-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health