Healthcare Provider Details

I. General information

NPI: 1225590342
Provider Name (Legal Business Name): CARE FROM HEART
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29300 KOHOUTEK WAY STE 130
UNION CITY CA
94587-1220
US

IV. Provider business mailing address

29300 KOHOUTEK WAY STE 130
UNION CITY CA
94587-1220
US

V. Phone/Fax

Practice location:
  • Phone: 510-972-0870
  • Fax: 510-972-0331
Mailing address:
  • Phone: 510-972-0870
  • Fax: 510-972-0331

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LAN HSIN CHAN
Title or Position: PRESIDENT
Credential:
Phone: 510-945-8388