MEDICARE: MAND ENTERPRISE LLC DBA 1HEART CAREGIVER SERVICES CHINO HILLS

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1962358978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAND ENTERPRISE LLC DBA 1HEART CAREGIVER SERVICES CHINO HILLS

Provider Business Mailing Address
First Line	:	13925 CITY CENTER DR STE 200
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5438
Country	:	US
Telephone Number	:	909-204-8782
Fax Number	:

Provider Business Practice Location Address
First Line	:	13925 CITY CENTER DR STE 200
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5438
Country	:	US
Telephone Number	:	909-204-8782
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MICHELLE LIM
Credential	:
Telephone Number	:	909-204-8782

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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