Healthcare Provider Details

I. General information

NPI: 1972248003
Provider Name (Legal Business Name): EMPATHY HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 RAMONA AVE STE 202
CORONA CA
92879-2147
US

IV. Provider business mailing address

PO BOX 7200
NORCO CA
92860-8073
US

V. Phone/Fax

Practice location:
  • Phone: 951-215-6310
  • Fax:
Mailing address:
  • Phone: 951-215-6310
  • Fax:

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: MS. OMODUPE TAIWO
Title or Position: DIRECTOR OF PATIENT CARE SERVICES
Credential: RN
Phone: 951-215-6310