Healthcare Provider Details

I. General information

NPI: 1205830635
Provider Name (Legal Business Name): HYGIEIA HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 CARSON ST STE N
LAKEWOOD CA
90715-2546
US

IV. Provider business mailing address

11401 CARSON ST STE N
LAKEWOOD CA
90715-2546
US

V. Phone/Fax

Practice location:
  • Phone: 562-865-4900
  • Fax: 562-865-4945
Mailing address:
  • Phone: 562-865-4900
  • Fax: 562-865-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980000893
License Number StateCA

VIII. Authorized Official

Name: MR. DAVID M ZALOPANY
Title or Position: PRESIDENT
Credential:
Phone: 562-865-4900