Healthcare Provider Details

I. General information

NPI: 1508050931
Provider Name (Legal Business Name): PRIMROSE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25060 AVENUE STANFORD STE 160
VALENCIA CA
91355-3915
US

IV. Provider business mailing address

25060 AVENUE STANFORD STE 160
VALENCIA CA
91355-3915
US

V. Phone/Fax

Practice location:
  • Phone: 818-358-2157
  • Fax: 818-401-0568
Mailing address:
  • Phone: 818-358-2157
  • Fax: 818-401-0568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550000940
License Number StateCA

VIII. Authorized Official

Name: ANTHONY CHARLES AGUILAR
Title or Position: CEO
Credential: CEO
Phone: 818-358-2157