Healthcare Provider Details

I. General information

NPI: 1932046570
Provider Name (Legal Business Name): ALTCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6127 E CASTRO VALLEY BLVD
CASTRO VALLEY CA
94552-9752
US

IV. Provider business mailing address

868 ENSENADA AVE
BERKELEY CA
94707-1850
US

V. Phone/Fax

Practice location:
  • Phone: 510-889-7515
  • Fax:
Mailing address:
  • Phone: 510-206-2122
  • Fax: 510-527-9405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT COLEMAN SMITH
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 510-206-2122