Organization
AVISTA HOME CARE
Active
Organization
AVISTA HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODFREY NWOGENE (DIRECTOR)
(951) 577-4360
Entity
Organization
Contact information
Practice address
1453 GOLDENEAGLE DR, CORONA, CA 92879-8891
(951) 577-4360
Mailing address
414 W GRAND BLVD UNIT 372, CORONA, CA 92878-7218
(951) 577-4360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up