Healthcare Provider Details

I. General information

NPI: 1134891609
Provider Name (Legal Business Name): GREAT CHOICE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W DUARTE RD STE 111
ARCADIA CA
91007-7540
US

IV. Provider business mailing address

805 W DUARTE RD STE 111
ARCADIA CA
91007-7540
US

V. Phone/Fax

Practice location:
  • Phone: 626-461-5202
  • Fax: 626-461-5024
Mailing address:
  • Phone: 626-461-5202
  • Fax: 626-461-5024

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: YAN LI
Title or Position: ADMIN
Credential:
Phone: 626-461-5202