Healthcare Provider Details

I. General information

NPI: 1912007097
Provider Name (Legal Business Name): HEALTHCARE CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6327 N FRESNO ST STE 104
FRESNO CA
93710-5236
US

IV. Provider business mailing address

1881 W TRAVERSE PARKWAY STE E#112
LEHI UT
84048-6029
US

V. Phone/Fax

Practice location:
  • Phone: 559-243-9990
  • Fax: 559-243-9994
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA08292F
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN BURNINGHAM
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 415-845-3213