MEDICARE: SANROSE HOME HEALTH SERVICES,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	:	1780888206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANROSE HOME HEALTH SERVICES,INC.

Provider Business Mailing Address
First Line	:	3636 NOBEL DR STE 450
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1062
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	41865 BOARDWALK STE 206
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-9032
Country	:	US
Telephone Number	:	858-251-4242
Fax Number	:	877-513-9161

Authorized Official
Title or Position	:	CEO
Name	:	JEFF MONGONIA
Credential	:
Telephone Number	:	858-251-4242

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	12/18/2025

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