MEDICARE: NIGHTINGALE HOME HEALTH CARE, 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	:	1437082369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIGHTINGALE HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	5250 W CENTURY BLVD STE 210
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5946
Country	:	US
Telephone Number	:	213-481-5014
Fax Number	:	213-921-4736

Provider Business Practice Location Address
First Line	:	5250 W CENTURY BLVD STE 210
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5946
Country	:	US
Telephone Number	:	213-481-5014
Fax Number	:	213-921-4736

Authorized Official
Title or Position	:	CEO
Name	:	HELEN WOLDEGIORGIS
Credential	:
Telephone Number	:	213-481-5014

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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