# AMETHYST CARE HOME HEALTH

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

## Provider details

- **NPI number:** 1356117618
- **Authorized official:** MRS. LORNA VERGARA NURSE (OWNER/DIRECTOR OF PATIENT CARE SRVC)
- **Authorized official phone:** (951) 237-9423

## Contact information

- **Practice address:** 29103 COSMOS, LAKE ELSINORE, CA 92530-9151
- **Practice address phone:** (951) 237-9423
- **Practice address fax:** (951) 639-6086
- **Mailing address:** 29103 COSMOS, LAKE ELSINORE, CA 92530-9151
- **Mailing address phone:** (951) 237-9423
- **Mailing address fax:** (951) 639-6086

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023