MEDICARE: FOCUS HOME CARE

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	291U00000X	Clinical Medical Laboratory

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	05D0898956	OTHER	CA	CLIA

General Provider Information

NPI Number	:	1588697254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS HOME CARE

Provider Business Mailing Address
First Line	:	177 BOVET RD FL 6
Second Line	:	ATTN: CD BILLING
City	:	SAN MATEO
State	:	CA
Zip	:	94402-3116
Country	:	US
Telephone Number	:	701-255-9279
Fax Number	:	701-222-4142

Provider Business Practice Location Address
First Line	:	4892 SCREECH OWL CREEK RD
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-8073
Country	:	US
Telephone Number	:	800-600-3554
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA COSENZA
Credential	:	CLS
Telephone Number	:	800-600-3554

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	09/07/2011

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Directions to “FOCUS HOME CARE ” Practice Location

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