Healthcare Provider Details

I. General information

NPI: 1043653181
Provider Name (Legal Business Name): LA CASA ADHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 04/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 BLANCO CIR
SALINAS CA
93901-4401
US

IV. Provider business mailing address

909 BLANCO CIR
SALINAS CA
93901-4401
US

V. Phone/Fax

Practice location:
  • Phone: 408-318-7637
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RAKESH CHAND
Title or Position: PROGRAM DIRECTOR
Credential: PHD
Phone: 408-318-7637