Individual provider · Type 1 NPI

Jiaoluan Wang

In Home Supportive Care Agency · Riverside, CA

NPI number 1114813052 Active

Practice location

8360 Clover Creek Rd
Riverside, CA 92508-3512

Mailing address

12625 Frederick St Ste E1
Moreno Valley, CA 92553-5253

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X47745 (CA)
Personal Care Attendant 3747P1801X003318344 (CA)
In Home Supportive Care Agency Primary 253Z00000X003318344 (CA)

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1114813052

Jiaoluan Wang's National Provider Identifier is 1114813052, issued on Jun 17, 2025. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Riverside, CA. The record was last updated on Jun 17, 2025.