# HOAG HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1174192892
- **Authorized official:** ROBERT DECKER PT (MGR)
- **Authorized official phone:** (949) 463-1510

## Contact information

- **Practice address:** 4041 MACARTHUR BLVD STE 400, NEWPORT BEACH, CA 92660-2554
- **Practice address phone:** (949) 736-6100
- **Mailing address:** 4041 MACARTHUR BLVD STE 400, NEWPORT BEACH, CA 92660-2554
- **Mailing address phone:** (949) 736-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2021
- **Last updated:** 06/21/2021