Life Care Health Services at Home, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE CARE HEALTH SERVICES AT HOME, INC.

Practice address

15549 Devonshire St Ste 102B
Mission Hills, CA 91345-2648

Phone

(818) 205-4705

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olena Revega

Title

President/Ceo

Phone

(818) 205-4705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1568112209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15549 DEVONSHIRE ST STE 102B",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15549 DEVONSHIRE ST STE 102B",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452648",
            "telephone_number": "818-205-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HEALTH SERVICES AT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "REVEGA",
        "authorized_official_first_name": "OLENA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-205-4705"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grace E Lim, LAC
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• Wei-Chien Michael Lin, MD
• Virginia Wollrich Lincoln, LMFT

• Home Health Agency in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.