# AT HOME VA STAFFING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023750924
- **Authorized official:** RUTH TIMA (OWNER)
- **Authorized official phone:** (213) 326-7452

## Contact information

- **Practice address:** 1303 W VALENCIA DR, FULLERTON, CA 92833-4034
- **Practice address phone:** (213) 326-7452
- **Practice address fax:** (714) 750-8417
- **Mailing address:** 1303 W VALENCIA DR \# 319, FULLERTON, CA 92833-4034
- **Mailing address phone:** (213) 326-7452
- **Mailing address fax:** (714) 860-8417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/11/2022
- **Last updated:** 02/10/2026