Healthcare Provider Details

I. General information

NPI: 1447816236
Provider Name (Legal Business Name): OWL HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 E ARROW HWY STE E
COVINA CA
91722-2123
US

IV. Provider business mailing address

926 ROSE DR
GLENDORA CA
91741-2287
US

V. Phone/Fax

Practice location:
  • Phone: 626-541-0045
  • Fax: 626-541-0025
Mailing address:
  • Phone: 909-973-2896
  • 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: MR. MAGED GINDI
Title or Position: CFO
Credential:
Phone: 626-962-1061