Organization
FAMILY CARE HOSPICE & HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILMER A HERNANDEZ (AUTHORIZED OFFICIAL)
(714) 499-1701
Entity
Organization
Contact information
Practice address
1415 E 17TH ST STE 220E, SANTA ANA, CA 92705-8525
(714) 499-1701
(888) 365-4466
Mailing address
1415 E 17TH ST STE 220E, SANTA ANA, CA 92705-8525
(714) 395-8502
(888) 365-4466
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305R00000X
Preferred Provider Organization
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336L0003X
Long Term Care Pharmacy
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
363A00000X
Physician Assistant
—
—
385H00000X
Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225805245
—
CA
05
—
1558138362
—
CA
Enumeration date
12/11/2023
Last updated
04/26/2024
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