Healthcare Provider Details

I. General information

NPI: 1952981581
Provider Name (Legal Business Name): MASTER-CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 SUTTER ST STE 290
FOLSOM CA
95630-2694
US

IV. Provider business mailing address

604 SUTTER ST STE 290
FOLSOM CA
95630-2694
US

V. Phone/Fax

Practice location:
  • Phone: 916-398-4999
  • Fax: 877-924-7010
Mailing address:
  • Phone: 916-398-4999
  • Fax: 877-294-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN INOCELDA
Title or Position: COO
Credential:
Phone: 916-333-7768