Healthcare Provider Details

I. General information

NPI: 1962193292
Provider Name (Legal Business Name): YOUR WAY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 CAPITOL AVE
SACRAMENTO CA
95811-4104
US

IV. Provider business mailing address

1817 CAPITOL AVE
SACRAMENTO CA
95811-4104
US

V. Phone/Fax

Practice location:
  • Phone: 877-845-3229
  • Fax:
Mailing address:
  • Phone: 877-845-3229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. RAMESH PRASAD
Title or Position: OPERATIONS DIRECTOR / ADVISOR
Credential:
Phone: 877-845-3229