MEDICARE: RESCARE HOME CARE

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	251E00000X	Home Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1023218369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESCARE HOME CARE

Provider Business Mailing Address
First Line	:	3187 RED HILL AVE
Second Line	:	SUITE 115
City	:	COSTA MESA
State	:	CA
Zip	:	92626-3410
Country	:	US
Telephone Number	:	800-707-8781
Fax Number	:	714-662-3087

Provider Business Practice Location Address
First Line	:	3187 RED HILL AVE
Second Line	:	SUITE 115
City	:	COSTA MESA
State	:	CA
Zip	:	92626-3410
Country	:	US
Telephone Number	:	800-707-8781
Fax Number	:	714-662-3087

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. MONICA BUSH
Credential	:	MSW
Telephone Number	:	800-707-8781

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	07/24/2007

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