MEDICARE: CONFIDENCE HOME HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1043930605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONFIDENCE HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	330 W HEDDING ST STE 208
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95110-1634
Country	:	US
Telephone Number	:	669-285-8072
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 W HEDDING ST STE 208
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95110-1634
Country	:	US
Telephone Number	:	669-285-8072
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MS. LOURDES MONNETTE BAGANG
Credential	:
Telephone Number	:	669-285-8072

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	04/04/2025

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