Provider Demographics
NPI:1992048508
Name:SOUTH SPRINGS HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:SOUTH SPRINGS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:INGAL
Authorized Official - Last Name:DE GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-883-4460
Mailing Address - Street 1:1590 OAKLAND RD
Mailing Address - Street 2:SUITE B-213
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2443
Mailing Address - Country:US
Mailing Address - Phone:408-883-4460
Mailing Address - Fax:408-641-8891
Practice Address - Street 1:1590 OAKLAND RD
Practice Address - Street 2:SUITE B213
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2443
Practice Address - Country:US
Practice Address - Phone:408-883-4460
Practice Address - Fax:408-641-8891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health