Healthcare Provider Details

I. General information

NPI: 1275359812
Provider Name (Legal Business Name): PERCFECT GRACE HHA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2024
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9727 ELK GROVE FLORIN RD STE 210
ELK GROVE CA
95624-2266
US

IV. Provider business mailing address

9727 ELK GROVE FLORIN RD STE 210
ELK GROVE CA
95624-2266
US

V. Phone/Fax

Practice location:
  • Phone: 714-928-1159
  • Fax:
Mailing address:
  • Phone: 714-928-1159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ROD SOMERA ALVARADO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 714-928-1159