Healthcare Provider Details

I. General information

NPI: 1235319062
Provider Name (Legal Business Name): JUBILEE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4195 VALLEY FAIR ST SUITE 200
SIMI VALLEY CA
93063-2953
US

IV. Provider business mailing address

4195 VALLEY FAIR ST SUITE 200
SIMI VALLEY CA
93063-2953
US

V. Phone/Fax

Practice location:
  • Phone: 805-578-9806
  • Fax: 805-578-4609
Mailing address:
  • Phone: 805-578-9806
  • 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: MRS. NIMFA C SIMBULAN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 805-578-9806