Healthcare Provider Details

I. General information

NPI: 1386565364
Provider Name (Legal Business Name): TINAS HOME OF CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7521 TWIN OAKS AVE
CITRUS HEIGHTS CA
95610-0334
US

IV. Provider business mailing address

7521 TWIN OAKS AVE
CITRUS HEIGHTS CA
95610-0334
US

V. Phone/Fax

Practice location:
  • Phone: 916-676-5861
  • Fax:
Mailing address:
  • Phone: 916-676-5861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TINA MARIE LEWIS
Title or Position: OWNER
Credential:
Phone: 916-676-5861