Healthcare Provider Details

I. General information

NPI: 1841124518
Provider Name (Legal Business Name): CARE.COACH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 CALLAN AVE
SAN LEANDRO CA
94577-4643
US

IV. Provider business mailing address

PO BOX 47
AMESBURY MA
01913-0002
US

V. Phone/Fax

Practice location:
  • Phone: 781-715-5609
  • Fax:
Mailing address:
  • Phone: 781-715-5609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VICTOR WANG
Title or Position: FOUNDER AND BOARD CHAIRMAN
Credential:
Phone: 415-866-6964