| Organization Name: | CEBU HOME HEALTH, INC. |
| NPI Number: | 1073887378 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELSIE GODWIN (PRESIDENT) |
| Mailing Address: | 23601 S Avalon Bl., Suite 201 Carson |
| State: | CA US |
| Postal Code: | 90745 |
| Phone Number: | 3105494800 |
| Fax Number: | 3105494801 |
| NPI Enumeration Date: | 03/05/2012 |
| NPI Last Update Date: | 03/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |