MEDICARE: FLEXCARE, 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
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1518509199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEXCARE, LLC

Provider Business Mailing Address
First Line	:	532 GIBSON DR STE 100
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-5878
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	532 GIBSON DR STE 100
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-5878
Country	:	US
Telephone Number	:	866-564-3589
Fax Number	:

Authorized Official
Title or Position	:	SR. VP OF CLIENT RELATIONS
Name	:	RYAN C WHITE
Credential	:
Telephone Number	:	916-756-0200

Provider Enumeration Date	:	10/15/2019
Last Update Date	:	10/15/2019

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