Healthcare Provider Details

I. General information

NPI: 1033025929
Provider Name (Legal Business Name): ROCKIN' OLDIES II CORPORATION DBA HOME INSTEAD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 CANOGA AVE STE 210
WOODLAND HILLS CA
91367-5063
US

IV. Provider business mailing address

5950 CANOGA AVE STE 210
WOODLAND HILLS CA
91367-5063
US

V. Phone/Fax

Practice location:
  • Phone: 818-717-0643
  • Fax: 818-717-0646
Mailing address:
  • Phone: 818-717-0643
  • Fax: 818-717-0646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VIVIAN YI
Title or Position: GENERAL MANAGER
Credential:
Phone: 818-717-0643