HEALTHY HOME HEALTH NPI 1790109908

NPI Information

NPI: 1790109908
Provider Name: HEALTHY HOME HEALTH
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
13391 CALIFORNIA ST
YUCAIPA, CA
ZIP 92399
Phone: (909) 235-7355
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HEALTHY HOME HEALTH is an intermediate care facility mentally retarded in Yucaipa, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HEALTHY HOME HEALTH NPI is 1790109908. The provider is registered as an organization entity type.

The provider's business location address is:

13391 CALIFORNIA ST
YUCAIPA, CA
ZIP 92399-105
Phone: (909) 235-7355
Fax: (909) 217-7184

The provider's authorized official is Michael Judah .
The authorized official title is Pres/ceo/cfo/administrator and has the following contact phone number (909) 235-7355.

The enumeration date for this NPI number is 2/7/2014 and was last updated on 2/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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