PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA is a home health in Burbank, 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. PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA NPI is 1164429684. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Home Care.
The provider's business location address is:
250 E OLIVE AVE STE 202
BURBANK, CA
ZIP 91502-211
Phone: (818) 953-4451
Fax: (747) 229-2365
The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.
The CLIA number assigned to this NPI record is 05D0920807 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/30/2005 and was last updated on 12/1/2021.