Healthcare Provider Details

I. General information

NPI: 1265887111
Provider Name (Legal Business Name): UNION HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 VALLEY FAIR ST STE 204B
SIMI VALLEY CA
93063-2955
US

IV. Provider business mailing address

4225 VALLEY FAIR ST STE 204B
SIMI VALLEY CA
93063-2955
US

V. Phone/Fax

Practice location:
  • Phone: 805-842-1003
  • Fax: 805-618-2022
Mailing address:
  • Phone: 805-842-1003
  • Fax: 805-618-2022

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: OSCAR CAUCHI
Title or Position: CEO
Credential:
Phone: 805-842-1003