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General NPI Number Information
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NPI Number | 1811317811
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Entity Type | Organization
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Legal Business Name | AMERICAN RIVER HOME CARE
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1451 RIVER PARK DR SUITE 244
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City | SACRAMENTO
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State | CA
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Zip | 95815-4507
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Country | US
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Telephone | 916-209-4400
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Fax | 916-209-4401
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Provider Business Mailing Address
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Address Line | 1451 RIVER PARK DR SUITE 244
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City | SACRAMENTO
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State | CA
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Zip | 95815-4507
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Country | US
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Telephone | 916-209-4400
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Fax | 916-209-4401
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP BENJAMIN MCMILLAN
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Credential | RN
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Telephone | 916-515-8652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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