Healthcare Provider Details

I. General information

NPI: 1821393489
Provider Name (Legal Business Name): LAGUNA HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2011
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25909 PALA STE 320
MISSION VIEJO CA
92691-2778
US

IV. Provider business mailing address

2999 N 44TH ST STE 100
PHOENIX AZ
85018-7247
US

V. Phone/Fax

Practice location:
  • Phone: 949-707-5023
  • Fax: 949-707-5023
Mailing address:
  • Phone: 480-618-5760
  • Fax: 949-707-5301

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: SUSAN VALOCCHI
Title or Position: CCO
Credential:
Phone: 480-618-5760