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LIFE CARE HOME HEALTH
NPI 1235883026
Home Health in San Bernardino, CA

Active since February 09, 2022CLIA 05D2330957 · Waiver
1264 S WATERMAN AVE STE 28, SAN BERNARDINO, CA 92408(909) 332-7311(909) 494-7532 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Life Care Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE CARE HOME HEALTH (NPI 1235883026) is a healthcare organization registered as a home health in San Bernardino, California and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Isaiah Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1235883026
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIFE CARE HOME HEALTH
Location Address1264 S WATERMAN AVE STE 28San Bernardino, CA 92408-2848
Mailing Address1264 S Waterman Ave Ste 28San Bernardino, CA 92408-2848 · (909) 332-7311 · Fax (909) 494-7532
Phone(909) 332-7311
Fax(909) 494-7532
Organization SubpartNo
Authorized OfficialIsaiah BrownOwner · (909) 332-7311
Enumeration DateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1235883026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1264 S WATERMAN AVE STE 28, San Bernardino, CA 92408
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2330957

Life Care Home Health · San Bernardino, CA
Active · expires Sep 23, 2027
CLIA Number05D2330957
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorJo Ann C. Pullen
Laboratory Phone(909) 332-7311
Laboratory LocationLife Care Home Health1264 S Waterman Ave Ste 28, San Bernardino, CA 92408
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE CARES HOSPICE
Hospice Care, Community Based
1264 S WATERMAN AVE STE 28
SAN BERNARDINO, CA 92408
San Bernardino County (909) 332-7713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Care Home Health's NPI number?

The NPI number for Life Care Home Health is 1235883026. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Life Care Home Health located?

Life Care Home Health is located at 1264 S Waterman Ave Ste 28, San Bernardino, CA 92408. The listed phone number is (909) 332-7311.

What is Life Care Home Health's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Life Care Home Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2330957) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Care Home Health was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.