MEDICARE: REHABFOCUS HOME HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	100000770	CA

General Provider Information

NPI Number	:	1053656421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABFOCUS HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	3340 TULLY RD
Second Line	:	SUITE C-8A
City	:	MODESTO
State	:	CA
Zip	:	95350-0838
Country	:	US
Telephone Number	:	209-524-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1503 E MARCH LN
Second Line	:	SUITE A
City	:	STOCKTON
State	:	CA
Zip	:	95210-5622
Country	:	US
Telephone Number	:	209-472-7005
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY/TREASURER
Name	:	MR. JOHN VINCENT O'SULLIVAN JR.
Credential	:	PT
Telephone Number	:	209-524-8700

Provider Enumeration Date	:	12/11/2012
Last Update Date	:	12/11/2012

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