Healthcare Provider Details

I. General information

NPI: 1669259917
Provider Name (Legal Business Name): CARESCOPE GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 05/21/2025
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 POINT WEST WAY SUITE 261
SACRAMENTO CA
95815
US

IV. Provider business mailing address

1100 CORPORATE WAY SUITE 200
SACRAMENTO CA
95831
US

V. Phone/Fax

Practice location:
  • Phone: 916-777-2288
  • Fax:
Mailing address:
  • Phone: 916-478-2828
  • Fax: 916-919-8181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANIEL WING WONG
Title or Position: OWNER
Credential:
Phone: 916-780-1384