Provider Demographics
NPI:1447550165
Name:EMERITUS HOME HEALTH INC
Entity type:Organization
Organization Name:EMERITUS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PANGILINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-437-3045
Mailing Address - Street 1:1590 OAKLAND RD
Mailing Address - Street 2:STE. B114
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2443
Mailing Address - Country:US
Mailing Address - Phone:408-437-3045
Mailing Address - Fax:408-693-3742
Practice Address - Street 1:1590 OAKLAND RD
Practice Address - Street 2:STE. B114
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2443
Practice Address - Country:US
Practice Address - Phone:408-437-3045
Practice Address - Fax:408-693-3742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health