MEDICARE: PARAMOUNT HOME 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	060000374	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	:	1881773430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAMOUNT HOME CARE, INC.

Provider Business Mailing Address
First Line	:	3400 W BALL RD STE 209
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3737
Country	:	US
Telephone Number	:	714-994-1250
Fax Number	:	714-994-1280

Provider Business Practice Location Address
First Line	:	12235 BEACH BLVD STE 102
Second Line	:
City	:	STANTON
State	:	CA
Zip	:	90680-3943
Country	:	US
Telephone Number	:	714-994-1250
Fax Number	:	714-994-1280

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOEL R LACSON
Credential	:
Telephone Number	:	714-994-1250

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	05/09/2025

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