Provider Demographics
NPI:1659185411
Name:RESTORATIVE HOME HEALTH LLC
Entity type:Organization
Organization Name:RESTORATIVE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:714-420-5268
Mailing Address - Street 1:14525 VALLEY VIEW AVE STE F
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-5237
Mailing Address - Country:US
Mailing Address - Phone:714-420-5268
Mailing Address - Fax:
Practice Address - Street 1:14525 VALLEY VIEW AVE STE F
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-5237
Practice Address - Country:US
Practice Address - Phone:714-420-5268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health