Provider Demographics
NPI:1700537396
Name:JUVAN HOME HEALTH CARE
Entity Type:Organization
Organization Name:JUVAN HOME HEALTH CARE
Other - Org Name:JUVAN HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JENNY VI
Authorized Official - Middle Name:SALES
Authorized Official - Last Name:BADUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-331-0762
Mailing Address - Street 1:2050 W CHAPMAN AVE STE 287
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2696
Mailing Address - Country:US
Mailing Address - Phone:657-331-0762
Mailing Address - Fax:
Practice Address - Street 1:2050 W CHAPMAN AVE STE 287
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2696
Practice Address - Country:US
Practice Address - Phone:657-331-0762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health