MEDICARE: WEST SHORE HOME HEALTH 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	:	1376225847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST SHORE HOME HEALTH INC

Provider Business Mailing Address
First Line	:	1366 CORTE DE LAS PIEDRAS
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-2850
Country	:	US
Telephone Number	:	619-851-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1366 CORTE DE LAS PIEDRAS
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-2850
Country	:	US
Telephone Number	:	619-851-8600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LEONA ABBO
Credential	:	CEO
Telephone Number	:	619-851-8600

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	09/19/2023

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Directions to “WEST SHORE HOME HEALTH INC ” Practice Location

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