Organization Active NPI

L&L Home Healthcare Services, Inc.

  • Home Health Agency
  • Montclair, CA
National Provider Identifier
1306049218
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
L&L HOME HEALTHCARE SERVICES, INC.
Practice address
4795 Holt Blvd Ste 202
Montclair, CA 91763-4714
Phone
(909) 447-5999
Fax
(909) 447-5998
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marilyn Lopez Dolan
Title
President
Phone
(909) 447-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

4795 Holt Blvd Ste 202
Montclair, CA 91763-4714

Mailing address

4795 Holt Blvd Ste 202
Montclair, CA 91763-4714
Phone (909) 447-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170419002501 CA Part A Provider - Home Health Agency 2163516121 Practice locations: Chino, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306049218. Details of each certification follow.

Home health agency certification: CCN 559190

Legal name
L&L HOME HEALTHCARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2019
Last certification
Oct 21, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 4, 2007 in CA
Enrollment address
13505 Yorba Ave
Ste X
Chino, CA 91710-5073

Care Compare: Home health agency

Medicare Care Compare
Listed as
L & L Home Healthcare Services IncCCN 559190 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Oct 21, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

13505 Yorba Ave
Ste X
Chino, CA 91710
Phone (626) 329-7082

4795 Holt Blvd
Ste 202
Montclair, CA 91763
Phone (909) 447-5999

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maria Marilyn Lopez Individual 5% Or Greater Direct Ownership InterestOwner May 3, 2007 100%
Corporate OfficerPresident May 3, 2007 100%
Corporate DirectorPresident May 3, 2007 100%
W-2 Managing EmployeePresident, Business Development May 3, 2007 100%
Operational/Managerial ControlBusiness Development Director, C May 3, 2007 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1306049218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 HOLT BLVD STE 202",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634714",
            "telephone_number": "909-447-5999",
            "fax_number": "909-447-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 HOLT BLVD STE 202",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634714",
            "telephone_number": "909-447-5999",
            "fax_number": "909-447-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&L HOME HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-447-5999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.