Healthcare Provider Details

I. General information

NPI: 1023182938
Provider Name (Legal Business Name): CALCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 CRANE ST
MENLO PARK CA
94025-4212
US

IV. Provider business mailing address

1275 CRANE ST
MENLO PARK CA
94025-4212
US

V. Phone/Fax

Practice location:
  • Phone: 650-325-8600
  • Fax: 650-322-1016
Mailing address:
  • Phone: 650-325-8600
  • Fax: 650-322-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID DEDIACHVILI
Title or Position: CEO
Credential:
Phone: 650-325-8600