MEDICARE: HOME HEALTH SERVICES OF CALIFORNIA, 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	980001312	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841242161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH SERVICES OF CALIFORNIA, INC.

Provider Business Mailing Address
First Line	:	611 S CATALINA ST STE 318
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1703
Country	:	US
Telephone Number	:	213-385-9949
Fax Number	:	213-385-9950

Provider Business Practice Location Address
First Line	:	611 S CATALINA ST STE 318
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1703
Country	:	US
Telephone Number	:	213-385-9949
Fax Number	:	213-385-9950

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. AYOUNG HAHN
Credential	:
Telephone Number	:	213-385-9949

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	01/21/2022

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