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LULY HOME HEALTH INC.
NPI 1619521424
Home Health in Fountain Valley, CA

Active since July 30, 2019CLIA 05D2171319 · Waiver
11749 EDINGER AVE, FOUNTAIN VALLEY, CA 92708(714) 332-7093 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Luly Home Health Inc. NPPES

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

LULY HOME HEALTH INC. (NPI 1619521424) is a healthcare organization registered as a home health in Fountain Valley, California and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Kim Phung Ngo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619521424
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLULY HOME HEALTH INC.
Location Address11749 EDINGER AVEFountain Valley, CA 92708-1208
Mailing Address11749 Edinger AveFountain Valley, CA 92708-1208 · (714) 332-7093
Phone(714) 332-7093
Organization SubpartNo
Authorized OfficialKim Phung NgoCeo · (714) 718-2755
Enumeration DateJuly 30, 2019
✔ NPI 1619521424 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.
11749 EDINGER AVE, Fountain Valley, CA 92708
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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 05D2171319

Luly Home Health Inc · Fountain Valley, CA
Active · expires Aug 27, 2027
CLIA Number05D2171319
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorRoger Tran
Laboratory Phone(714) 332-7093
Laboratory LocationLuly Home Health Inc11749 Edinger Avenue, Fountain Valley, CA 92708
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.

LULY HOME HEALTH INC.
Home Health
11749 EDINGER AVE
FOUNTAIN VALLEY, CA 92708
Orange County (714) 332-7093

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 Luly Home Health Inc.'s NPI number?

The NPI number for Luly Home Health Inc. is 1619521424. It was assigned to this organization in the NPPES registry on July 30, 2019.

Where is Luly Home Health Inc. located?

Luly Home Health Inc. is located at 11749 Edinger Ave, Fountain Valley, CA 92708. The listed phone number is (714) 332-7093.

What is Luly Home Health Inc.'s specialty?

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

Does Luly Home Health Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2171319) is associated with this NPI, valid through August 27, 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 Luly Home Health Inc. was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.