MEDICARE: REHABFOCUS 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	070000714	CA

General Provider Information

NPI Number	:	1922240035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABFOCUS HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	120 VANTIS DR
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-2676
Country	:	US
Telephone Number	:	949-349-1200
Fax Number	:	949-349-1900

Provider Business Practice Location Address
First Line	:	1245 S WINCHESTER BLVD STE 201
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-3908
Country	:	US
Telephone Number	:	408-725-1840
Fax Number	:	408-725-8840

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	CAROL SPARKS
Credential	:
Telephone Number	:	949-349-1222

Provider Enumeration Date	:	04/03/2009
Last Update Date	:	06/17/2026

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