Provider Demographics
NPI:1558941104
Name:JOYFUL HOME HEALTH
Entity Type:Organization
Organization Name:JOYFUL HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:HERRARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-201-7292
Mailing Address - Street 1:5657 WILSHIRE BLVD STE 455
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3095
Mailing Address - Country:US
Mailing Address - Phone:747-201-7292
Mailing Address - Fax:747-201-7291
Practice Address - Street 1:5657 WILSHIRE BLVD STE 455
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3095
Practice Address - Country:US
Practice Address - Phone:747-201-7292
Practice Address - Fax:747-201-7291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health