1689730251 NPI number — CALIFORNIA HEALTHCARE STAFFING, INC

Table of content: (NPI 1689730251)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689730251 NPI number — CALIFORNIA HEALTHCARE STAFFING, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CALIFORNIA HEALTHCARE STAFFING, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CHS HOMECARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689730251
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2525 CHERRY AVE STE 110
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SIGNAL HILL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90755-2054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-256-1640
Provider Business Mailing Address Fax Number:
310-530-8763

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23545 CRENSHAW BLVD
Provider Second Line Business Practice Location Address:
SUITE #203
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90505-5218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-530-8743
Provider Business Practice Location Address Fax Number:
310-530-8763
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SESE
Authorized Official First Name:
ROLANDO
Authorized Official Middle Name:
EDROSA
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
310-530-8743

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  980001316 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HHA08078F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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