MEDICARE: 1HEALTH HOME HEALTH 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	:	1851041446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1HEALTH HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	3170 CROW CANYON PL STE 130
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583
Country	:	US
Telephone Number	:	925-804-6325
Fax Number	:

Provider Business Practice Location Address
First Line	:	3170 CROW CANYON PL STE 130
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583
Country	:	US
Telephone Number	:	925-804-6325
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ZAKIA MAIWANDI
Credential	:
Telephone Number	:	925-726-9541

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	03/25/2022

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