Healthcare Provider Details

I. General information

NPI: 1326001066
Provider Name (Legal Business Name): NATIONAL HOME REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24791 VALLEY ST
NEWHALL CA
91321-2628
US

IV. Provider business mailing address

5025 N CENTRAL AVE #610
PHOENIX AZ
85012-1520
US

V. Phone/Fax

Practice location:
  • Phone: 661-291-1666
  • Fax: 661-291-1616
Mailing address:
  • Phone: 661-291-1666
  • Fax: 661-291-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateAZ

VIII. Authorized Official

Name: MR. L MAZA
Title or Position: OWNER
Credential:
Phone: 661-291-1666