Healthcare Provider Details

I. General information

NPI: 1255240743
Provider Name (Legal Business Name): MAHAWAR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 OAKWOOD AVE
VALLEJO CA
94591-5542
US

IV. Provider business mailing address

3550 MOWRY AVE STE 101
FREMONT CA
94538-1460
US

V. Phone/Fax

Practice location:
  • Phone: 408-209-7477
  • Fax: 510-797-5507
Mailing address:
  • Phone: 408-209-7477
  • Fax: 510-797-5507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: RASHMIKA MAHAWAR
Title or Position: MANAGER
Credential:
Phone: 408-209-7477