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NPI Code Detail

MEDICARE: RESCARE CALIFORNIA, INC.

MEDICARE: RESCARE CALIFORNIA, 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
1315P00000XIntellectual Disabilities Intermediate Care Facility

Other Identifiers

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

General Provider Information

NPI Number : 1205962107
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESCARE CALIFORNIA, INC.
Provider Business Mailing Address
First Line : 9901 LINN STATION RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3808
Country : US
Telephone Number : 800-866-0860
Fax Number :
Provider Business Practice Location Address
First Line : 6170 PURPLE HILLS DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95119-1534
Country : US
Telephone Number : 714-537-3252
Fax Number :
Authorized Official
Title or Position : PRIVACY OFFICER
Name : MS. DEENA OMBRES
Credential :
Telephone Number : 502-394-2387
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/28/2008

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Directions to “RESCARE CALIFORNIA, INC. ” Practice Location

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