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NPI Code Detail

MEDICARE: HOMECARE CALIFORNIA

MEDICARE: HOMECARE CALIFORNIA
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1083917595
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMECARE CALIFORNIA
Provider Business Mailing Address
First Line : 885 N SAN ANTONIO RD STE R
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1341
Country : US
Telephone Number : 650-324-2600
Fax Number : 866-779-8975
Provider Business Practice Location Address
First Line : 885 N SAN ANTONIO RD STE R
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1341
Country : US
Telephone Number : 650-324-2600
Fax Number : 866-779-8975
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MR. GREG G. HARTWELL
Credential :
Telephone Number : 650-804-8890
Provider Enumeration Date : 12/06/2010
Last Update Date : 12/06/2010

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Directions to “HOMECARE CALIFORNIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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