Organization
HOME CARE MEDICAL SYSTEMS
Active
Other names
Home Care Providers and Home Care Nurses
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNINE A FITZGERALD RN, BA, MA (PRESIDENT, CEO)
(626) 445-6558
Entity
Organization
Contact information
Practice address
259 S. RANDOLPH AVE., #180 K, BREA, CA 92821
(714) 671-6877
(714) 671-6801
Mailing address
PO BOX 11063, BREA, CA 92821
(714) 671-6877
(714) 671-6801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980000776
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
980000776
DHS LICENSE #
CA
Enumeration date
03/02/2007
Last updated
05/13/2015
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