Provider Demographics
NPI:1942807342
Name:PROFESSIONAL HOME CAREGIVERS, LLC
Entity type:Organization
Organization Name:PROFESSIONAL HOME CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-445-9144
Mailing Address - Street 1:609 DEEP VALLEY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:609 DEEP VALLEY DR STE 200
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3614
Practice Address - Country:US
Practice Address - Phone:424-445-9144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care