Healthcare Provider Details

I. General information

NPI: 1376051383
Provider Name (Legal Business Name): AHC HOME HEALTH OF SACRAMENTO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 EXPO PKWY
SACRAMENTO CA
95815
US

IV. Provider business mailing address

1411 EXPO PKWY STE 150
SACRAMENTO CA
95815-4238
US

V. Phone/Fax

Practice location:
  • Phone: 916-758-6400
  • Fax: 916-758-6412
Mailing address:
  • Phone: 916-758-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREW FRASURE
Title or Position: COO
Credential:
Phone: 385-622-4500