Provider Demographics
NPI:1720732282
Name:LIAHONA HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:LIAHONA HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-251-8812
Mailing Address - Street 1:30369 SUNNY VISTA ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-1515
Mailing Address - Country:US
Mailing Address - Phone:812-251-8812
Mailing Address - Fax:
Practice Address - Street 1:500 LA TERRAZA BLVD STE 150
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3876
Practice Address - Country:US
Practice Address - Phone:760-466-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health