Healthcare Provider Details

I. General information

NPI: 1174000855
Provider Name (Legal Business Name): CLINICIANS CONNECT CARE HOME HEALTH & HOSPICE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 BEACON BLVD
WEST SACRAMENTO CA
95691-3436
US

IV. Provider business mailing address

3024 BEACON BLVD
WEST SACRAMENTO CA
95691-3436
US

V. Phone/Fax

Practice location:
  • Phone: 916-400-0775
  • Fax: 916-476-5277
Mailing address:
  • Phone: 916-400-0775
  • Fax: 916-476-5277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD SALEEM ANWARZAI
Title or Position: ADMINISTRATOR
Credential:
Phone: 916-400-0775