Healthcare Provider Details

I. General information

NPI: 1760444194
Provider Name (Legal Business Name): HYE QUALITY HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 TEMPLE AVE
SIGNAL HILL CA
90755
US

IV. Provider business mailing address

2855 TEMPLE AVE
SIGNAL HILL CA
90755-2212
US

V. Phone/Fax

Practice location:
  • Phone: 562-290-0558
  • Fax: 562-684-4689
Mailing address:
  • Phone: 562-290-0558
  • Fax: 562-427-9964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980001358
License Number StateCA

VIII. Authorized Official

Name: MELODY KEENAN
Title or Position: CAO
Credential:
Phone: 562-290-0558