MEDICARE: ICARE 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	:	1922322452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ICARE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	7220 ROSEMEAD BLVD
Second Line	:	202-10
City	:	SAN GABRIEL
State	:	CA
Zip	:	91775-1377
Country	:	US
Telephone Number	:	626-227-1381
Fax Number	:

Provider Business Practice Location Address
First Line	:	7220 ROSEMEAD BLVD
Second Line	:	202-10
City	:	SAN GABRIEL
State	:	CA
Zip	:	91775-1377
Country	:	US
Telephone Number	:	626-227-1381
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMES CHOU
Credential	:
Telephone Number	:	626-227-6218

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	03/26/2010

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