MEDICARE: A PLACE AT HOME HUNTINGTON BEACH

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1952248734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLACE AT HOME HUNTINGTON BEACH

Provider Business Mailing Address
First Line	:	3591 PRIMROSE CIR
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-3128
Country	:	US
Telephone Number	:	562-506-5624
Fax Number	:

Provider Business Practice Location Address
First Line	:	3591 PRIMROSE CIR
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-3128
Country	:	US
Telephone Number	:	562-506-5624
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ADELA ROMERO
Credential	:
Telephone Number	:	562-506-5624

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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