Individual provider · Type 1 NPI

Theodore B. Wyatt Jr.

In Home Supportive Care Agency · Rancho Cucamonga, CA

NPI number 1831028471 Active

Practice location

11175 Azusa Ct Ste 110
Rancho Cucamonga, CA 91730-4933

Call (503) 330-3708 Map

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency Primary 253Z00000XNone listed

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 1831028471

Theodore B. Wyatt Jr.'s National Provider Identifier is 1831028471, issued on May 19, 2026. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jun 9, 2026.