MEDICARE: EGN 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	:	1669336061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EGN HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	1320 WILLOW PASS RD STE 600
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94520-5292
Country	:	US
Telephone Number	:	650-483-7269
Fax Number	:

Provider Business Practice Location Address
First Line	:	3235 CORTINA DR
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-2567
Country	:	US
Telephone Number	:	650-483-7269
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA LIPARDO
Credential	:
Telephone Number	:	650-483-7269

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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