MEDICARE: HOME HEALTH CALA

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	:	1922606508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CALA

Provider Business Mailing Address
First Line	:	3099 N LIMA ST UNIT B
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2013
Country	:	US
Telephone Number	:	213-952-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	3099 N LIMA ST UNIT B
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2013
Country	:	US
Telephone Number	:	213-952-2992
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANGELA HITTERER
Credential	:
Telephone Number	:	213-952-2992

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	02/22/2023

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Directions to “HOME HEALTH CALA ” Practice Location

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