# IMMACULATE HEART OF MARY HOME HEALTH, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1083656664
- **Authorized official:** JONATHAN GO (ADMINISTRATOR)
- **Authorized official phone:** (562) 920-9868

## Contact information

- **Practice address:** 14329 WOODRUFF AVENUE, SUITE A, BELLFLOWER, CA 90706
- **Practice address phone:** (562) 920-9868
- **Practice address fax:** (562) 867-6860
- **Mailing address:** 14329 WOODRUFF AVENUE, SUITE A, BELLFLOWER, CA 90706
- **Mailing address phone:** (562) 920-9868
- **Mailing address fax:** (562) 867-6860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 980001114 | CA | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 01/10/2025