Provider Demographics
| NPI: | 1568635811 |
|---|---|
| Name: | A-1 HEALTHCARE MANAGEMENT |
| Entity type: | Organization |
| Organization Name: | A-1 HEALTHCARE MANAGEMENT |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CHIEF OPERATING OFFICER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | BINITA |
| Authorized Official - Middle Name: | T |
| Authorized Official - Last Name: | TRIVEDI |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 562-400-0244 |
| Mailing Address - Street 1: | 5011 ARGOSY AVE |
| Mailing Address - Street 2: | SUITE 4 |
| Mailing Address - City: | HUNTINGTON BEACH |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 92649-1002 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 714-650-8519 |
| Mailing Address - Fax: | 714-650-8520 |
| Practice Address - Street 1: | 5011 ARGOSY AVE |
| Practice Address - Street 2: | SUITE 4 |
| Practice Address - City: | HUNTINGTON BEACH |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 92649-1002 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 714-650-8519 |
| Practice Address - Fax: | 714-650-8520 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-04-08 |
| Last Update Date: | 2020-04-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | 550000589 | 251E00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health |