Healthcare Provider Details

I. General information

NPI: 1558450478
Provider Name (Legal Business Name): ESPECIALLY YOURS HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 03/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 E ROWLAND ST
COVINA CA
91723-3154
US

IV. Provider business mailing address

111 WESTWOOD PL STE 200
BRENTWOOD TN
37027-5021
US

V. Phone/Fax

Practice location:
  • Phone: 626-653-8880
  • Fax: 626-653-8887
Mailing address:
  • Phone: 615-221-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980001032
License Number StateCA

VIII. Authorized Official

Name: MS. JULIE MCGLASSON
Title or Position: SR DIRECTOR REGULATORY PRACTICES
Credential:
Phone: 615-221-2250