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General NPI Number Information
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NPI Number | 1407796832
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Entity Type | Organization
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Legal Business Name | MAGNIFICENT HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 7625 SUNRISE BLVD STE 214
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-2364
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Country | US
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Telephone | 916-647-0438
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Fax | 916-246-8185
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Provider Business Mailing Address
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Address Line | 7625 SUNRISE BLVD STE 214
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-2364
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Country | US
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Telephone | 916-647-0438
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Fax | 916-246-8185
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Authorized Official
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Title or Position | CEO
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Name | MS. MIRABELL S HALEY
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Credential | HALEY
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Telephone | 510-945-9518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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