Healthcare Provider Details

I. General information

NPI: 1952987976
Provider Name (Legal Business Name): MONTAGE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10324 BALBOA BLVD STE 204
GRANADA HILLS CA
91344-7349
US

IV. Provider business mailing address

10324 BALBOA BLVD STE 204
GRANADA HILLS CA
91344-7349
US

V. Phone/Fax

Practice location:
  • Phone: 818-743-1149
  • Fax: 747-335-7060
Mailing address:
  • Phone: 818-743-1149
  • Fax: 747-335-7060

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: RENNIE GARCIA
Title or Position: CEO
Credential:
Phone: 818-519-7221