Organization
AMERIPRIME HOME HEALTH PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIOMEDES LOPEZ PUNONGBAYAN (ADMINISTRATOR)
(951) 689-2800
Entity
Organization
Contact information
Practice address
11840 MAGNOLIA AVE STE C, RIVERSIDE, CA 92503-4900
(951) 689-2800
Mailing address
11840 MAGNOLIA AVE STE C, RIVERSIDE, CA 92503-4900
(951) 689-2800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA08333F
MEDI-CAL
CA
Enumeration date
09/02/2006
Last updated
08/22/2020
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