DIRECT PROVIDER OF HEALTHCARE SERVICES, INC. is a home health in Riverside, CA. The provider is 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. DIRECT PROVIDER OF HEALTHCARE SERVICES, INC. NPI is 1003056292. The provider is registered as an organization entity type.
The provider's business location address is:
11801 PIERCE ST FL 2
RIVERSIDE, CA
ZIP 92505-400
Phone: (909) 319-0635
Fax: (909) 944-3878
The provider's authorized official is Jennybeth Diego .
The authorized official title is Chief Executive Officer and has the following contact phone number (909) 319-0635.
The CLIA number assigned to this NPI record is 05D2066436 - hospice with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/27/2009 and was last updated on 2/27/2009.