Healthcare Provider Details

I. General information

NPI: 1932530193
Provider Name (Legal Business Name): EL HOGAR COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3780 ROSIN CT SUITE 110
SACRAMENTO CA
95834-1646
US

IV. Provider business mailing address

3780 ROSIN COURT SUITE 110
SACRAMENTO CA
95834
US

V. Phone/Fax

Practice location:
  • Phone: 916-441-0226
  • Fax: 916-441-0286
Mailing address:
  • Phone: 916-441-0226
  • Fax: 916-441-0286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. GENELLE CAZARES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 916-441-0226