Healthcare Provider Details

I. General information

NPI: 1689310260
Provider Name (Legal Business Name): HOUSEHOLD HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2022
Last Update Date: 05/07/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 ALTADENA CIR
BAY POINT CA
94565-7691
US

IV. Provider business mailing address

270 ALTADENA CIR
BAY POINT CA
94565-7691
US

V. Phone/Fax

Practice location:
  • Phone: 925-240-3287
  • Fax:
Mailing address:
  • Phone: 925-240-3287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: OLU AGANJUOMO
Title or Position: MANAGING MEMBER
Credential:
Phone: 925-434-7816