Provider Demographics
NPI:1447494448
Name:ONE HEALTH CARE PROVIDER, INC.
Entity type:Organization
Organization Name:ONE HEALTH CARE PROVIDER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT CARE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUNGO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:909-981-3383
Mailing Address - Street 1:869 E FOOTHILL BLVD
Mailing Address - Street 2:N-2
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4011
Mailing Address - Country:US
Mailing Address - Phone:909-971-3383
Mailing Address - Fax:909-981-3343
Practice Address - Street 1:869 E FOOTHILL BLVD
Practice Address - Street 2:N-2
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4011
Practice Address - Country:US
Practice Address - Phone:909-981-3383
Practice Address - Fax:909-981-3343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health