MEDICARE: ACCLAIM HOME HEALTH INC

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	550001228	CA

General Provider Information

NPI Number	:	1215385414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCLAIM HOME HEALTH INC

Provider Business Mailing Address
First Line	:	1111 E LAS TUNAS DR
Second Line	:	D
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1701
Country	:	US
Telephone Number	:	626-451-0265
Fax Number	:	626-451-9802

Provider Business Practice Location Address
First Line	:	1111 E LAS TUNAS DR
Second Line	:	D
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1701
Country	:	US
Telephone Number	:	626-451-0265
Fax Number	:	626-451-9802

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHRISTOPHER CHEN
Credential	:
Telephone Number	:	626-757-1926

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	05/27/2016

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