Healthcare Provider Details

I. General information

NPI: 1780888206
Provider Name (Legal Business Name): SANROSE HOME HEALTH SERVICES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41865 BOARDWALK STE 206
PALM DESERT CA
92211-9032
US

IV. Provider business mailing address

3636 NOBEL DR STE 450
SAN DIEGO CA
92122-1062
US

V. Phone/Fax

Practice location:
  • Phone: 858-251-4242
  • Fax: 877-513-9161
Mailing address:
  • Phone:
  • Fax:

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: JEFF MONGONIA
Title or Position: CEO
Credential:
Phone: 858-251-4242