Organization
SEPULVEDA HOME NURSING CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD SEPULVEDA (OWNER /CEO)
(855) 922-7323
Entity
Organization
Contact information
Practice address
2734 GOLF MEADOWS CT, SIMI VALLEY, CA 93063-2472
(855) 922-7323
Mailing address
2734 GOLF MEADOWS CT, SIMI VALLEY, CA 93063-2472
(855) 922-7323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/24/2020
Last updated
12/16/2020
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