Extended Homecare Pharmacy

LBN: Extended Home Care, Inc.
Extended Homecare Pharmacy is an health care organization with primary practice located at 3303 Harbor Blvd E-6, Costa Mesa CA 92626-1530. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Extended Home Care, Inc. can be contacted via phone (714) 668-5589, or through Tiee, Charles J via phone (714) 662-5589.

Contact Information

Primary practice address
3303 Harbor Blvd E-6 Costa Mesa CA 92626-1530
Phone: (714) 668-5589
Fax: (714) 434-1215
Website:
Map and Directions
Authorized official contact:
Name: Tiee, Charles J PHARM. D.
Phone: (714) 662-5589

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHY462120 California

Profile Details

NPI number 1326262551
LBN Legal business name Extended Home Care, Inc.
DBA Doing business as Extended Homecare Pharmacy
Authorized official Tiee, Charles J PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326262551 NPPES
California MEDICAID PHA462120

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