MEDICARE: SAFETRUST HOME 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1710741988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFETRUST HOME CARE INC.

Provider Business Mailing Address
First Line	:	4815 LAGUNA PARK DR
Second Line	:	STE C
City	:	ELK GROVE
State	:	CA
Zip	:	95758-5158
Country	:	US
Telephone Number	:	916-226-6050
Fax Number	:

Provider Business Practice Location Address
First Line	:	4815 LAGUNA PARK DR
Second Line	:	STE C
City	:	ELK GROVE
State	:	CA
Zip	:	95758-5158
Country	:	US
Telephone Number	:	916-226-6050
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HARVINDER BAHIA BAHIA
Credential	:	BDS
Telephone Number	:	209-918-7353

Provider Enumeration Date	:	02/08/2024
Last Update Date	:	02/08/2024

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