Provider Demographics
NPI:1871742114
Name:ADOBE HOME HEALTH, INC
Entity type:Organization
Organization Name:ADOBE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MS
Authorized Official - First Name:SODEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:LAGATTUTA
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:831-424-1311
Mailing Address - Street 1:19045 PORTOLA DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-1262
Mailing Address - Country:US
Mailing Address - Phone:831-424-1311
Mailing Address - Fax:831-424-2711
Practice Address - Street 1:19045 PORTOLA DR
Practice Address - Street 2:STE E
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93908-1204
Practice Address - Country:US
Practice Address - Phone:831-424-1311
Practice Address - Fax:831-424-2711
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADOBE HOME HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-10
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059144Medicare Oscar/Certification