Healthcare Provider Details

I. General information

NPI: 1477088037
Provider Name (Legal Business Name): ANITA HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 VALLEY BLVD STE 342
EL MONTE CA
91731-2533
US

IV. Provider business mailing address

11100 VALLEY BLVD STE 342
EL MONTE CA
91731-2533
US

V. Phone/Fax

Practice location:
  • Phone: 626-532-8957
  • Fax:
Mailing address:
  • Phone: 626-532-8957
  • 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. SIMON N UCHE
Title or Position: AUTHORIZED OFFICIAL/PRESIDENT/CEO
Credential:
Phone: 626-941-9600