Healthcare Provider Details

I. General information

NPI: 1437504990
Provider Name (Legal Business Name): DESCANSO HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 S CITRUS AVE
COVINA CA
91723-2927
US

IV. Provider business mailing address

408 S CITRUS AVE
COVINA CA
91723-2927
US

V. Phone/Fax

Practice location:
  • Phone: 626-261-4835
  • Fax: 626-841-7840
Mailing address:
  • Phone: 626-261-4835
  • Fax: 626-841-7840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: JORGE GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 909-519-2292