MEDICARE: RESTORING OUR COMMUNITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251T00000X	PACE Provider Organization
3	253Z00000X	In Home Supportive Care Agency
4	164X00000X	Licensed Vocational Nurse
5	251V00000X	Voluntary or Charitable Agency
6	146D00000X	Personal Emergency Response Attendant
7	172V00000X	Community Health Worker
8	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1598633299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORING OUR COMMUNITY

Provider Business Mailing Address
First Line	:	2270 LINCOLN ST STE 4
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5475
Country	:	US
Telephone Number	:	530-282-4993
Fax Number	:	530-282-4993

Provider Business Practice Location Address
First Line	:	2270 LINCOLN ST STE 4
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5475
Country	:	US
Telephone Number	:	323-984-3590
Fax Number	:	530-282-4993

Authorized Official
Title or Position	:	CEO
Name	:	CARNELLA MARKS
Credential	:	ADMINISTRATOR
Telephone Number	:	323-873-7053

Provider Enumeration Date	:	10/25/2025
Last Update Date	:	12/19/2025

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Directions to “RESTORING OUR COMMUNITY ” Practice Location

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