MEDICARE: CARE MANAGEMENT GROUP OF AMERICA, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1164067591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE MANAGEMENT GROUP OF AMERICA, INC.

Provider Business Mailing Address
First Line	:	611 GATEWAY BLVD STE 120
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-7066
Country	:	US
Telephone Number	:	877-322-7326
Fax Number	:	650-741-6907

Provider Business Practice Location Address
First Line	:	611 GATEWAY BLVD STE 120
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-7066
Country	:	US
Telephone Number	:	877-322-7326
Fax Number	:	650-741-6907

Authorized Official
Title or Position	:	HR ASSISTANT
Name	:	MARK KHO
Credential	:
Telephone Number	:	725-220-6060

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	01/08/2026

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