Healthcare Provider Details

I. General information

NPI: 1679974299
Provider Name (Legal Business Name): MERIT HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 E COOLEY DR SUITE 211
COLTON CA
92324-3948
US

IV. Provider business mailing address

1003 E COOLEY DR SUITE 211
COLTON CA
92324-3948
US

V. Phone/Fax

Practice location:
  • Phone: 909-717-6686
  • Fax: 909-356-8795
Mailing address:
  • Phone: 909-717-6686
  • Fax: 909-356-8795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ESTHER O OLELEAYEOMIUNU
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 909-717-6686