Organization
CCAM, INC.
Active
Other names
Spirit Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OMID GABBAI (CEO)
(310) 641-4100
Entity
Organization
Contact information
Practice address
8929 S SEPULVEDA BLVD, #306, WESTCHESTER, CA 90045-3616
(310) 641-4100
(310) 670-9944
Mailing address
8929 S SEPULVEDA BLVD, #306, WESTCHESTER, CA 90045-3616
(310) 641-4100
(310) 670-9944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA08018F
MEDI-CAL ID #
CA
Enumeration date
08/26/2005
Last updated
10/16/2024
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