Healthcare Provider Details

I. General information

NPI: 1508760075
Provider Name (Legal Business Name): KIND HEART & HANDS CAREHOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8667 SUMERLIN CT
ELK GROVE CA
95624-1545
US

IV. Provider business mailing address

8667 SUMERLIN CT
ELK GROVE CA
95624-1545
US

V. Phone/Fax

Practice location:
  • Phone: 916-562-7217
  • Fax: 916-647-9611
Mailing address:
  • Phone: 916-562-7217
  • Fax: 916-647-9611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARIA SOCORRO TEJANO CALDEIRA
Title or Position: ADMINISTRATOR
Credential:
Phone: 916-756-5790