CCN: 758005 NPI: 1861139453 Organization

Iconic Home Health Care Inc.

10012 COMMERCE AVE STE B
TUJUNGA, CA 910422304

Contact Information

Phone 7472124551
Fax 7472124552
Enumeration Date 2022-05-16
Last Updated 2022-05-16

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