Healthcare Provider Details

I. General information

NPI: 1255624607
Provider Name (Legal Business Name): CALCARE HOME HEALTH CARE & HOSPICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2011
Last Update Date: 05/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 HICKEY BLVD 505A
DALY CITY CA
94015-2629
US

IV. Provider business mailing address

455 HICKEY BLVD 505A
DALY CITY CA
94015-2629
US

V. Phone/Fax

Practice location:
  • Phone: 650-756-7712
  • Fax:
Mailing address:
  • Phone: 650-756-7712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TABASUM DURRANI
Title or Position: PRESIDENT
Credential:
Phone: 650-756-7712