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NPI Code Detail

MEDICARE: CARE AT HOME, INC.

MEDICARE: CARE AT HOME, 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
1251E00000XHome Health Agency220000453CA

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 : 1396740965
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE AT HOME, INC.
Provider Business Mailing Address
First Line : 1333 BUSH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-5611
Country : US
Telephone Number : 408-379-3990
Fax Number : 415-421-1649
Provider Business Practice Location Address
First Line : 1333 BUSH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-5611
Country : US
Telephone Number : 408-379-3990
Fax Number : 415-421-1649
Authorized Official
Title or Position : ADMINISTRATOR
Name : DENISE ALTOMARE
Credential :
Telephone Number : 408-379-3990
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/02/2020

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Directions to “CARE AT HOME, INC. ” Practice Location

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