Healthcare Provider Details

I. General information

NPI: 1699433201
Provider Name (Legal Business Name): HIGHER CALLING HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18077 US HIGHWAY 18 STE 400
APPLE VALLEY CA
92307-2168
US

IV. Provider business mailing address

16082 WATO RD
APPLE VALLEY CA
92307-7810
US

V. Phone/Fax

Practice location:
  • Phone: 760-503-1997
  • Fax:
Mailing address:
  • Phone: 760-985-1583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELLIS JONES RAY SHAKA FINNELL
Title or Position: MANAGING MEMBER
Credential:
Phone: 760-985-1583