Healthcare Provider Details

I. General information

NPI: 1982530788
Provider Name (Legal Business Name): MONTECITO HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E MONTECITO AVE STE F
SIERRA MADRE CA
91024-2983
US

IV. Provider business mailing address

160 E MONTECITO AVE STE F
SIERRA MADRE CA
91024-2983
US

V. Phone/Fax

Practice location:
  • Phone: 626-803-1327
  • Fax: 626-803-1938
Mailing address:
  • Phone: 626-803-1327
  • 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: SHAKEH KALADJIAN
Title or Position: CEO
Credential:
Phone: 626-803-1327