Healthcare Provider Details

I. General information

NPI: 1528271186
Provider Name (Legal Business Name): AMERICARE ADHC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 RANCHEROS DR STE 196
SAN MARCOS CA
92069-2980
US

IV. Provider business mailing address

340 RANCHEROS DR STE 196
SAN MARCOS CA
92069-2980
US

V. Phone/Fax

Practice location:
  • Phone: 760-682-2424
  • Fax: 760-471-5104
Mailing address:
  • Phone: 760-682-2424
  • Fax: 760-471-5104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BORIS BRUCE NASHTUT
Title or Position: VICE PRESIDENT
Credential:
Phone: 858-722-3991