Provider Demographics
NPI:1245276880
Name:PRONTO HOME HEALTH CARE
Entity type:Organization
Organization Name:PRONTO HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-281-7588
Mailing Address - Street 1:1041 S GARFIELD AVE
Mailing Address - Street 2:SUITE 118
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4765
Mailing Address - Country:US
Mailing Address - Phone:626-281-7588
Mailing Address - Fax:626-292-1634
Practice Address - Street 1:1041 S GARFIELD AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4765
Practice Address - Country:US
Practice Address - Phone:626-281-7588
Practice Address - Fax:626-292-1634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57718FMedicaid
CA557718Medicare ID - Type UnspecifiedMEDICARE PROVIDER NO