1639610264 NPI number — THE WRIGHT HOME CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639610264 NPI number — THE WRIGHT HOME CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE WRIGHT HOME CARE, 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:
Provider Other Organization Name Type Code:
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:
1639610264
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8383 WILSHIRE BLVD
Provider Second Line Business Mailing Address:
800
Provider Business Mailing Address City Name:
BEVERLY HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90211-2425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
424-269-8727
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8383 WILSHIRE BLVD
Provider Second Line Business Practice Location Address:
800
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90211-2425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-269-8727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WRIGHT
Authorized Official First Name:
EVADNE
Authorized Official Middle Name:
ELAINE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
323-456-8675

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  194700431 , 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)