Healthcare Provider Details

I. General information

NPI: 1275423923
Provider Name (Legal Business Name): CAREVANCE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2025
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 W ALAMEDA AVE STE 389
BURBANK CA
91505-4195
US

IV. Provider business mailing address

2108 N ST # 5771
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 818-532-9877
  • Fax:
Mailing address:
  • Phone: 818-532-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. NICOLE BROWN
Title or Position: ADMINISTRATOR/DIRECTOR/OWNER
Credential: RN
Phone: 818-532-9877