Healthcare Provider Details

I. General information

NPI: 1932286168
Provider Name (Legal Business Name): EL HOGAR COMMUNITY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 BERCUT DR STE C
SACRAMENTO CA
95811-0110
US

IV. Provider business mailing address

3841 N FREEWAY BLVD STE 245
SACRAMENTO CA
95834-1969
US

V. Phone/Fax

Practice location:
  • Phone: 916-363-1553
  • Fax:
Mailing address:
  • Phone: 916-441-0226
  • Fax: 916-441-0286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

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