Healthcare Provider Details

I. General information

NPI: 1659191856
Provider Name (Legal Business Name): CAREGIVING BASICS SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2024
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2887 PIN OAK LN
CHICO CA
95928-6696
US

IV. Provider business mailing address

PO BOX 7478
CHICO CA
95927-7478
US

V. Phone/Fax

Practice location:
  • Phone: 530-228-0050
  • Fax:
Mailing address:
  • Phone: 530-228-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NATIELY SHELEY-LOPEZ
Title or Position: FOUNDER, CHIEF EXECUTIVE OFFICER
Credential:
Phone: 530-228-0050