MEDICARE: ALL CONCIERGE HOMEHEALTH, 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

General Provider Information

NPI Number	:	1427443969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CONCIERGE HOMEHEALTH, INC

Provider Business Mailing Address
First Line	:	2171 S EL CAMINO REAL
Second Line	:	SUITE 205
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6229
Country	:	US
Telephone Number	:	619-201-5993
Fax Number	:

Provider Business Practice Location Address
First Line	:	2171 S EL CAMINO REAL
Second Line	:	SUITE 205
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6229
Country	:	US
Telephone Number	:	619-201-5993
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARVIE PAYO
Credential	:
Telephone Number	:	619-201-5993

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	08/12/2016

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