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Providence Health System - Southern California
Home Health Agency in Burbank, California
NPI 1164429684

Providence Health System - Southern California is a Home Health Agency based in Burbank, CA. Providence Health System - Southern California practices in Burbank, CA. The NPI Number for Providence Health System - Southern California is 1164429684 and holds a License No. 980000499 (California).

The current practice location address for Providence Health System - Southern California is 250 E Olive Ave Ste 202, Burbank, CA and can be reached out via phone at 818-953-4451 and via fax at 747-229-2365.

Location: 250 E Olive Ave Ste 202, Burbank, CA, 91502-1211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164429684
Provider Name
Providence Health System - Southern California
Credential
Provider Entity Type
Organization
Address
250 E Olive Ave Ste 202, Burbank, CA, 91502-1211
Phone Number
818-953-4451
Fax Number
747-229-2365
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HHA07627F 05 CA
institution
Provider Business Practice Location Address Details
Address
250 E Olive Ave Ste 202
City
Burbank
State
California
Zip
91502-1211
Phone Number
818-953-4451
Fax Number
747-229-2365
person
Provider Business Mailing Address Details
Address
250 E Olive Ave Ste 202
City
Burbank
State
California
Zip
91502-1211
Phone Number
818-953-4451
Fax Number
747-229-2365
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
980000499 (California)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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