CCN: 757886 NPI: 1205543642 Organization

Extended Life Home Health

28310 ROADSIDE DR STE 138
AGOURA HILLS, CA 913014960

Contact Information

Phone 8002732585
Fax 8002732585
Enumeration Date 2022-11-04
Last Updated 2022-11-04

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator