MEDICARE: CARING CONNECTION HEALTH SERVICES

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	385HR2065X	Child Physical Disabilities Respite Care

General Provider Information

NPI Number	:	1205247467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING CONNECTION HEALTH SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 41
Second Line	:
City	:	LOOMIS
State	:	CA
Zip	:	95650-0041
Country	:	US
Telephone Number	:	916-529-3766
Fax Number	:

Provider Business Practice Location Address
First Line	:	3217 PROFESSIONAL DR
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95602-2414
Country	:	US
Telephone Number	:	916-529-3766
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	CLARE RADFORD
Credential	:
Telephone Number	:	916-529-3766

Provider Enumeration Date	:	05/09/2014
Last Update Date	:	05/09/2014

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