Healthcare Provider Details

I. General information

NPI: 1487309894
Provider Name (Legal Business Name): HEALTHLINE HOME HEALTH AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2022
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 TELSTAR AVE UNIT A, STE 117
EL MONTE CA
91731-3011
US

IV. Provider business mailing address

9650 TELSTAR AVE UNIT A, STE 117
EL MONTE CA
91731-3011
US

V. Phone/Fax

Practice location:
  • Phone: 626-631-8222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ECHO LU
Title or Position: CEO
Credential:
Phone: 626-631-8222