Provider Demographics
NPI:1982074738
Name:CARE AND SUPPORT HOME HEALTH INC
Entity type:Organization
Organization Name:CARE AND SUPPORT HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-466-2400
Mailing Address - Street 1:43801 HALCOM AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-5819
Mailing Address - Country:US
Mailing Address - Phone:323-434-3737
Mailing Address - Fax:661-480-2255
Practice Address - Street 1:43801 HALCOM AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-5819
Practice Address - Country:US
Practice Address - Phone:323-434-3737
Practice Address - Fax:661-480-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health