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CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICESCOMMUNITY CARE LICENSING DIVISION HOME CARE SERVICES BUREAU HOME CARE ORGANIZATION USE ANTIPERSONNEL RECORDABLE
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01
Start by writing the full legal name of the home care agency.
02
Include any additional business or organization information, such as a DBA (doing business as) name, if applicable.
03
Provide the address of the home care agency, including street name and number, city, state, and zip code.
04
Write the contact details, including phone number and email address, for the home care agency.
05
Include the website URL, if available, of the home care agency.
06
If required, mention any licensing or certification details that the home care agency possesses.
07
Finally, sign and date the document to certify its accuracy and completeness.

Who needs name of home care?

01
Individuals looking to start a home care agency and need to fill out the name for legal purposes.
02
Existing home care agencies that need to update their name due to changes in ownership, rebranding, or other reasons.
03
Regulatory bodies or government agencies that require the name of home care agencies for licensing and oversight purposes.
04
Financial institutions or insurance companies that need the name of home care agencies for business transactions or coverage purposes.
05
Individuals seeking home care services who want to ensure they are selecting a reputable and properly named agency.
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Name of home care refers to the official name or title of the home care agency providing services to patients.
The owner or operator of the home care agency is required to file the name of home care.
The name of home care can be filled out on the appropriate forms provided by the relevant regulatory authority.
The purpose of name of home care is to uniquely identify the home care agency and distinguish it from other providers in the industry.
The name of home care should include the legal business name of the agency, any DBA (doing business as) names, and any relevant licensing information.
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