MEDICARE: HEALTHWISE HOME HEALTH CARE, 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	:	1235407826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHWISE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	1615 SWEETWATER RD STE I
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-7668
Country	:	US
Telephone Number	:	619-474-4699
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 SWEETWATER RD STE I
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-7668
Country	:	US
Telephone Number	:	619-474-4699
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. ENRICO P LOPEZ
Credential	:	USN RETIRED
Telephone Number	:	619-243-9751

Provider Enumeration Date	:	12/09/2011
Last Update Date	:	12/02/2025

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