Healthcare Provider Details

I. General information

NPI: 1205580180
Provider Name (Legal Business Name): SAVING LIFE HOME HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10590 MAGNOLIA AVE STE F1
RIVERSIDE CA
92505-6903
US

IV. Provider business mailing address

10590 MAGNOLIA AVE STE F1
RIVERSIDE CA
92505-6903
US

V. Phone/Fax

Practice location:
  • Phone: 950-353-9615
  • Fax: 866-879-0401
Mailing address:
  • Phone: 950-353-9615
  • Fax: 866-879-0401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER NUNEZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 951-353-9615