Organization Name: | PRESIDIO HOME CARE LLC |
NPI Number: | 1861719577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLIN M BARNES (OWNER / OPERATOR) |
Mailing Address: | 936 E Green St Suite #105 Pasadena |
State: | CA US |
Postal Code: | 911062900 |
Phone Number: | 8005674117 |
Fax Number: | 8776377309 |
NPI Enumeration Date: | 04/21/2010 |
NPI Last Update Date: | 04/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |