Providence Home Health La County North

LBN: Providence Health System - Southern California
Providence Home Health La County North is an health care organization with primary practice located at 250 E Olive Ave Ste 202 , Burbank CA 91502-1211. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Providence Health System - Southern California can be contacted via phone (818) 953-4451, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
250 E Olive Ave Ste 202 Burbank CA 91502-1211
Phone: (818) 953-4451
Fax: (747) 229-2365
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 980000499 California

Profile Details

NPI number 1164429684
LBN Legal business name Providence Health System - Southern California
DBA Doing business as Providence Home Health La County North
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 11th, 2023 - about last year

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 1164429684 NPPES
California MEDICAID HHA07627F

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