MEDICARE: CAREGIVING IN HOME CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1811650880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREGIVING IN HOME CARE LLC

Provider Business Mailing Address
First Line	:	5441 ALDRIN CT STE A
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-2194
Country	:	US
Telephone Number	:	661-384-6312
Fax Number	:

Provider Business Practice Location Address
First Line	:	5441 ALDRIN CT
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-2193
Country	:	US
Telephone Number	:	661-384-6312
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ERICA GUZMAN
Credential	:
Telephone Number	:	661-384-6312

Provider Enumeration Date	:	10/18/2021
Last Update Date	:	07/26/2022

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