Healthcare Provider Details

I. General information

NPI: 1992630420
Provider Name (Legal Business Name): REDWOOD HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 14TH ST STE D
MODESTO CA
95354-1029
US

IV. Provider business mailing address

802 14TH ST ST. #D
MODESTO CA
95354-1029
US

V. Phone/Fax

Practice location:
  • Phone: 209-444-6674
  • Fax: 209-444-2151
Mailing address:
  • Phone: 209-444-6674
  • Fax: 209-444-2151

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: AMANJOT SANDHU
Title or Position: SECRETARY
Credential:
Phone: 510-407-5236