# EMPHACARE HOME CARE AGENCY LLC

> 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:** 1497194773
- **Authorized official:** MS. JACKYLINE M MITCHELL C.N.A. (OWNER/MANAGER)
- **Authorized official phone:** (909) 362-0248

## Contact information

- **Practice address:** 7231 BOULDER AVE, STE. \# 197, HIGHLAND, CA 92346-3313
- **Practice address phone:** (909) 362-0248
- **Practice address fax:** (909) 363-8679
- **Mailing address:** 7231 BOULDER AVE, STE. \# 197, HIGHLAND, CA 92346-3313
- **Mailing address phone:** (909) 362-0248
- **Mailing address fax:** (909) 363-8679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 11549 | CA | — |
| 253Z00000X | In Home Supportive Care Agency | 11549 | CA | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 06/19/2013