Healthcare Provider Details

I. General information

NPI: 1952248734
Provider Name (Legal Business Name): A PLACE AT HOME HUNTINGTON BEACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3591 PRIMROSE CIR
SEAL BEACH CA
90740-3128
US

IV. Provider business mailing address

3591 PRIMROSE CIR
SEAL BEACH CA
90740-3128
US

V. Phone/Fax

Practice location:
  • Phone: 562-506-5624
  • Fax:
Mailing address:
  • Phone: 562-506-5624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ADELA ROMERO
Title or Position: OWNER
Credential:
Phone: 562-506-5624