Healthcare Provider Details

I. General information

NPI: 1992751382
Provider Name (Legal Business Name): ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 GOODWATER AVE STE 100
REDDING CA
96002-1550
US

IV. Provider business mailing address

17855 DALLAS PKWY SUITE 200
DALLAS TX
75287-6852
US

V. Phone/Fax

Practice location:
  • Phone: 530-223-3696
  • Fax:
Mailing address:
  • Phone: 972-267-1100
  • Fax: 972-267-1116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number230000205
License Number StateCA

VIII. Authorized Official

Name: M'LISS JONES KANE
Title or Position: VP LEGAL
Credential:
Phone: 949-623-1582