Healthcare Provider Details

I. General information

NPI: 1154265130
Provider Name (Legal Business Name): EL VALLE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22024 LASSEN ST STE 128
CHATSWORTH CA
91311-8330
US

IV. Provider business mailing address

22024 LASSEN ST STE 128
CHATSWORTH CA
91311-8330
US

V. Phone/Fax

Practice location:
  • Phone: 747-224-0326
  • Fax: 747-224-0267
Mailing address:
  • Phone: 747-224-0326
  • Fax: 747-224-0267

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: MR. MARIO E AQUINO
Title or Position: CEO
Credential:
Phone: 747-224-0326