MEDICARE: HOME HEALTH CARE AGENCY, 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		CA

General Provider Information

NPI Number	:	1689651739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CARE AGENCY, INC.

Provider Business Mailing Address
First Line	:	2500 WILSHIRE BLVD
Second Line	:	SUITE 1230
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4303
Country	:	US
Telephone Number	:	213-387-5397
Fax Number	:	213-387-7309

Provider Business Practice Location Address
First Line	:	2500 WILSHIRE BLVD
Second Line	:	SUITE 1230
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4303
Country	:	US
Telephone Number	:	213-387-5397
Fax Number	:	213-387-7309

Authorized Official
Title or Position	:	CEO-ADMINISTRATOR
Name	:	MS. KRISTINE STEPANEN
Credential	:
Telephone Number	:	213-387-5397

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	08/07/2007

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