OrganizationGrapevine Home Health Services, Inc.Home HealthAgenciesPractice Address8459 White Oak Ave, Suite 103, Rancho Cucamonga, CA 91730-3872(909) 483-6505PECOS EnrollmentBased on the most recent information from CMS, provider Grapevine Home Health Services, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1174957088Provider TypeOrganizationFull NameGrapevine Home Health Services, Inc.SubpartNoEnumeration Date8/27/2013Last Updated2/27/2014Contact InformationPractice LocationPractice Address8459 White Oak Ave, Suite 103, Rancho Cucamonga, CA 91730-3872Phone(909) 483-6505Fax(909) 944-3250Mailing LocationMailing Address8459 White Oak Ave, Suite 103, Rancho Cucamonga, CA 91730-3872Phone(909) 483-6505Fax(909) 944-3250Authorized OfficialNameRuiz, Eddie D (Cfo)Phone(909) 483-6505Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense550000797California