MEDICARE: CALCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023182938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALCARE INC

Provider Business Mailing Address
First Line	:	1275 CRANE ST
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-4212
Country	:	US
Telephone Number	:	650-325-8600
Fax Number	:	650-322-1016

Provider Business Practice Location Address
First Line	:	1275 CRANE ST
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-4212
Country	:	US
Telephone Number	:	650-325-8600
Fax Number	:	650-322-1016

Authorized Official
Title or Position	:	CEO
Name	:	DAVID DEDIACHVILI
Credential	:
Telephone Number	:	650-325-8600

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	01/21/2009

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Directions to “CALCARE INC ” Practice Location

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