Organization Active NPI

Luly Home Health Inc.

  • Home Health Agency
  • Fountain Valley, CA
National Provider Identifier
1619521424
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LULY HOME HEALTH INC.
Practice address
11749 Edinger Ave
Fountain Valley, CA 92708-1208
Phone
(714) 332-7093
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Ms. Kim Phung Ngo, RN
Title
Ceo
Phone
(714) 718-2755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11749 Edinger Ave
Fountain Valley, CA 92708-1208

Mailing address

11749 Edinger Ave
Fountain Valley, CA 92708-1208
Phone (714) 332-7093

National Provider Directory

National Provider Directory
Tax ID family
Luly Home Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11749 Edinger Ave
Fountain Valley, CA 92708
Phone (714) 332-7093

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1619521424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11749 EDINGER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081208",
            "telephone_number": "714-332-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11749 EDINGER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081208",
            "telephone_number": "714-332-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LULY HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "PHUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-718-2755",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.