Healthcare Provider Details

I. General information

NPI: 1407178643
Provider Name (Legal Business Name): VIGILANS HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2010
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 CAJON ST STE B
REDLANDS CA
92373-5278
US

IV. Provider business mailing address

256 CAJON ST STE B
REDLANDS CA
92373-5278
US

V. Phone/Fax

Practice location:
  • Phone: 909-748-7980
  • Fax: 909-781-2496
Mailing address:
  • Phone: 909-748-7980
  • Fax: 909-781-2496

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: MR. JOEL ZAMORA
Title or Position: PRESIDENT
Credential:
Phone: 909-748-7980