MEDICARE: K&B PICHETTE ENTERPRISES, 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

General Provider Information

NPI Number	:	1467888305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K&B PICHETTE ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	11992 STATE HIGHWAY 88
Second Line	:	SUITE 2046
City	:	JACKSON
State	:	CA
Zip	:	95642-9404
Country	:	US
Telephone Number	:	209-787-5577
Fax Number	:	209-787-5576

Provider Business Practice Location Address
First Line	:	11992 STATE HIGHWAY 88
Second Line	:	SUITE 2046
City	:	JACKSON
State	:	CA
Zip	:	95642-9404
Country	:	US
Telephone Number	:	209-787-5577
Fax Number	:	209-787-5576

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KATIE PICHETTE
Credential	:
Telephone Number	:	209-223-9119

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	09/19/2016

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