MEDICARE: CALIFORNIA HOME HEALTH SPECIALIST, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1215974092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA HOME HEALTH SPECIALIST, INC.

Provider Business Mailing Address
First Line	:	18856 AMAR RD
Second Line	:	SUITE 12
City	:	WALNUT
State	:	CA
Zip	:	91789-7103
Country	:	US
Telephone Number	:	626-965-2711
Fax Number	:

Provider Business Practice Location Address
First Line	:	18856 AMAR RD
Second Line	:	SUITE 12
City	:	WALNUT
State	:	CA
Zip	:	91789-7103
Country	:	US
Telephone Number	:	626-965-2711
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. MARIA ALDA FARREN N. FARREN
Credential	:	RN
Telephone Number	:	626-965-2711

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	12/28/2015

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