CCN: 757625 NPI: 1346711686 Organization

Blue Moon Home Health, Inc.

260 S. LOS ROBLES AVE. , SUITE 114
PASADENA, CA 911012869

Contact Information

Phone 6268179040
Fax 6268179139
Enumeration Date 2018-12-16
Last Updated 2023-06-20

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18