Healthcare Provider Details

I. General information

NPI: 1225254857
Provider Name (Legal Business Name): MEDICAL HOME REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 PLAZA DR
ROCKLIN CA
95765-4421
US

IV. Provider business mailing address

2217 PLAZA DR
ROCKLIN CA
95765-4421
US

V. Phone/Fax

Practice location:
  • Phone: 916-599-2019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number55914
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JEREMY PERKINS
Title or Position: EXECUTIVE CHAIRMAN OF THE BOARD
Credential:
Phone: 916-599-2019