Organization · Type 2 NPI

Direct Provider of Healthcare Services, Inc.

Home Health Agency · Rancho Cucamonga, CA

NPI number 1003056292 Active

Practice location

9320 Base Line Rd Ste B
Rancho Cucamonga, CA 91701-5829

Call (909) 483-8311 Map

Fax (909) 483-8382

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1003056292

Direct Provider of Healthcare Services, Inc.'s National Provider Identifier is 1003056292, issued on Feb 27, 2009. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Sep 16, 2025.