Exclusive Home Care Services

Organization Active NPI In Home Supportive Care Agency · Nipomo, CA

NPI 1891018347 · NPPES record last updated Mar 11, 2010

Key facts

NPI
1891018347
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
0729368 (CA)
Legal business name
EXCLUSIVE HOME CARE SERVICES
Practice address
203 E Bennett St
Nipomo, CA 93444-9435
Phone
(805) 440-5298
NPI assigned
Mar 11, 2010
Organization subpart
No

Authorized official

Name
Fred Alan Avila
Title
Director of Operations
Phone
(805) 528-8974

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Exclusive Home Care Services (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0729368 CA Yes

Addresses

Primary practice location

203 E Bennett St
Nipomo, CA 93444-9435

Mailing address

1653 11TH Street
Los Osos, CA 93402-2236
Phone (805) 528-8907

Other providers in Nipomo, CA

All providers in Nipomo, CA · In Home Supportive Care Agency in California

Sources for this page

Verify at the official NPI Registry.