Basic Information
| Provider Information | |||||||||
| NPI: | 1740646983 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HME ENTERPRISES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2129 E TAFT AVE | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928674028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7143453449 | ||||||||
| FaxNumber: | 9492509485 | ||||||||
| Practice Location | |||||||||
| Address1: | 3300 IRVINE AVE STE 111 | ||||||||
| Address2: | |||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926603115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7143453449 | ||||||||
| FaxNumber: | 9492509485 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2016 | ||||||||
| LastUpdateDate: | 01/04/2016 | ||||||||
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| AuthorizedOfficialLastName: | KUECHLE | ||||||||
| AuthorizedOfficialFirstName: | RALPH | ||||||||
| AuthorizedOfficialMiddleName: | GUNTHER | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/CEO | ||||||||
| AuthorizedOfficialTelephone: | 7143453449 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PH.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | PSY22751 | CA | Y | Agencies | Community/Behavioral Health |
No ID Information.