MEDICARE: XL CARE 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
1	251E00000X	Home Health Agency	980001478	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	980001478	OTHER	CA	HOME HEALTH AGENCY LICENS
3	HH980002368	OTHER	CA	STATE FACILITY ID

General Provider Information

NPI Number	:	1588655112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XL CARE INC

Provider Business Mailing Address
First Line	:	20350 VENTURA BLVD STE 140
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2484
Country	:	US
Telephone Number	:	818-785-2944
Fax Number	:	818-785-2956

Provider Business Practice Location Address
First Line	:	20350 VENTURA BLVD STE 140
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2484
Country	:	US
Telephone Number	:	818-785-2944
Fax Number	:	818-785-2956

Authorized Official
Title or Position	:	CFO
Name	:	MR. DMITRTIY GRINBERG
Credential	:
Telephone Number	:	818-785-2944

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	10/21/2019

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Directions to “XL CARE INC ” Practice Location

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