Provider Demographics
NPI:1043497605
Name:HEALTH CARE PROFESSIONAL INC
Entity type:Organization
Organization Name:HEALTH CARE PROFESSIONAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FROILAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BALUYOT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-813-8066
Mailing Address - Street 1:5924 E LOS ANGELES AVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-5526
Mailing Address - Country:US
Mailing Address - Phone:805-813-8066
Mailing Address - Fax:805-813-8067
Practice Address - Street 1:5924 E LOS ANGELES AVE
Practice Address - Street 2:SUITE J
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-5526
Practice Address - Country:US
Practice Address - Phone:805-813-8066
Practice Address - Fax:805-813-8067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health