Healthcare Provider Details

I. General information

NPI: 1720589997
Provider Name (Legal Business Name): YOUR HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30011 IVY GLENN DR STE 123
LAGUNA NIGUEL CA
92677-5041
US

IV. Provider business mailing address

30011 IVY GLENN DR STE 123
LAGUNA NIGUEL CA
92677-5041
US

V. Phone/Fax

Practice location:
  • Phone: 949-732-1389
  • Fax:
Mailing address:
  • Phone: 949-732-1389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number304700158
License Number StateCA

VIII. Authorized Official

Name: SEGAL RONEN
Title or Position: PRESIDENT
Credential:
Phone: 949-732-1389