Healthcare Provider Details

I. General information

NPI: 1053031070
Provider Name (Legal Business Name): NORCAL HC HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 STEWART DR
SUNNYVALE CA
94085-3914
US

IV. Provider business mailing address

1006 STEWART DR
SUNNYVALE CA
94085-3914
US

V. Phone/Fax

Practice location:
  • Phone: 650-691-9671
  • Fax:
Mailing address:
  • Phone: 650-691-9671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: IAN HAMILTON
Title or Position: OWNER / MEMBER
Credential:
Phone: 415-760-5666