NPI Code Details Logo

NPI 1760104962

NPI 1760104962 : DISCOVERY HOME HEALTH INC. : SAN FERNANDO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760104962
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DISCOVERY HOME HEALTH INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/14/2022
-----------------------------------------------------
    Last Update Date     |    02/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1419 SAN FERNANDO RD STE D 
-----------------------------------------------------
    City                 |    SAN FERNANDO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91340-3229
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    661-843-6900
-----------------------------------------------------
    Fax                  |    661-863-9550
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1419 SAN FERNANDO RD STE D 
-----------------------------------------------------
    City                 |    SAN FERNANDO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91340-3229
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    661-843-6900
-----------------------------------------------------
    Fax                  |    661-863-9550
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MS. BRIANA  CRETA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    661-843-6900
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.