Healthcare Provider Details

I. General information

NPI: 1225620305
Provider Name (Legal Business Name): HEALTHYU HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 RIMPAU AVE STE 208
CORONA CA
92879-7522
US

IV. Provider business mailing address

1451 RIMPAU AVE STE 208
CORONA CA
92879-7522
US

V. Phone/Fax

Practice location:
  • Phone: 951-268-6163
  • Fax: 951-518-9007
Mailing address:
  • Phone: 951-268-6163
  • Fax: 951-518-9007

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: KISA FATIMA
Title or Position: CEO
Credential:
Phone: 951-268-6163