# ANCESTRAL HOME HEALTH CARE PROVIDERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871917567
- **Authorized official:** MA THERESITA MACARANAS BENITEZ (OFFICE MANAGER)
- **Authorized official phone:** (818) 789-5888

## Contact information

- **Practice address:** 15335 MORRISON ST STE 218, SHERMAN OAKS, CA 91403-1599
- **Practice address phone:** (818) 789-5888
- **Practice address fax:** (818) 789-0561
- **Mailing address:** 15335 MORRISON ST STE 218, SHERMAN OAKS, CA 91403-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 980001129 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2014
- **Last updated:** 02/14/2014