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Contact Information

1ST PROVIDENCE HOME HEALTH CARE INCORPORATED
1900 E TAHQUITZ CANYON WAY
SUITE B-4
PALM SPRINGS, CA92262-7061
 Phone: 760-323-5510
 Fax: 760-323-2097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for 1ST PROVIDENCE HOME HEALTH CARE INCORPORATED

NPI Number 1194903559
LBN Legal business name 1ST PROVIDENCE HOME HEALTH CARE INCORPORATED
Authorized official SAMUEL BARNACASTLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2008
Last updated 09/15/2010 - About 16 years ago
Identifiers
CA License # 20005681
CA Medicaid HHA08331F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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