Organization · Type 2 NPI

Habitat Health West Covina

PACE Provider Organization · West Covina, CA

NPI number 1104707157 Active

Practice location

702 N Azusa Ave
West Covina, CA 91791-1010

Mailing address

39 Arkansas St
San Francisco, CA 94107-2434

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000XNone listed

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

5 other providers at this address

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About NPI 1104707157

Habitat Health West Covina's National Provider Identifier is 1104707157, issued on Sep 8, 2025. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in West Covina, CA. The record was last updated on Sep 8, 2025.