MEDICARE: ACCESS 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	550000280	CA

General Provider Information

NPI Number	:	1609048917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS HOME HEALTH CARE, INC,.

Provider Business Mailing Address
First Line	:	18780 AMAR RD
Second Line	:	SUITE #201
City	:	WALNUT
State	:	CA
Zip	:	91789-4560
Country	:	US
Telephone Number	:	626-965-2084
Fax Number	:	626-965-2128

Provider Business Practice Location Address
First Line	:	18780 AMAR RD
Second Line	:	SUITE #201
City	:	WALNUT
State	:	CA
Zip	:	91789-4560
Country	:	US
Telephone Number	:	626-965-2084
Fax Number	:	626-965-2128

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LILIBETH NAVARRO
Credential	:	R.N.
Telephone Number	:	6269652084140

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	03/12/2015

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