MEDICARE: ACCENTCARE HOME HEALTH OF CALIFORNIA, 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	251E00000X	Home Health Agency	100000471	CA

General Provider Information

NPI Number	:	1316947864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.

Provider Business Mailing Address
First Line	:	17855 DALLAS PKWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6857
Country	:	US
Telephone Number	:	972-267-1100
Fax Number	:	972-267-1116

Provider Business Practice Location Address
First Line	:	2295 GATEWAY OAKS DR STE 125
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95833-4259
Country	:	US
Telephone Number	:	916-852-5888
Fax Number	:	916-852-5889

Authorized Official
Title or Position	:	SVP
Name	:	DENA L SCHWARTZ-DOTY
Credential	:
Telephone Number	:	972-201-3819

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	10/25/2024

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