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NPI Code Detail

MEDICARE: EQUICARE CONSULTANT GROUP LLC

MEDICARE: EQUICARE CONSULTANT GROUP LLC
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
1373H00000XDay Training/Habilitation Specialist
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1427905611
Entity Type Code : Organization
Provider Name (Legal Business Name) : EQUICARE CONSULTANT GROUP LLC
Provider Business Mailing Address
First Line : 671 HOPE TERRACE CT
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-3840
Country : US
Telephone Number : 805-975-7176
Fax Number :
Provider Business Practice Location Address
First Line : 671 HOPE TERRACE CT
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-3840
Country : US
Telephone Number : 805-975-7176
Fax Number :
Authorized Official
Title or Position : CEO
Name : NICOLE IRENE BENNETT
Credential : MPH
Telephone Number : 805-975-7176
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “EQUICARE CONSULTANT GROUP LLC ” Practice Location

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