MEDICARE: CARE VENTURE UC 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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1609584002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE VENTURE UC LLC

Provider Business Mailing Address
First Line	:	342 MAIN AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-2063
Country	:	US
Telephone Number	:	804-767-1288
Fax Number	:

Provider Business Practice Location Address
First Line	:	342 MAIN AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-2063
Country	:	US
Telephone Number	:	804-767-1288
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	QURATUL NAQVI
Credential	:
Telephone Number	:	804-767-1288

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	11/14/2022

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