MEDICARE: S B HEALTH CARE ACQUISITION 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	332B00000X	Durable Medical Equipment & Medical Supplies	101424	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101424	OTHER	CA	STATE OF CA HMDRF LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710989843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S B HEALTH CARE ACQUISITION INC

Provider Business Mailing Address
First Line	:	36 S. CALLE CESAR CHAVEZ
Second Line	:	STE B
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103
Country	:	US
Telephone Number	:	805-892-4501
Fax Number	:	805-892-4511

Provider Business Practice Location Address
First Line	:	36 S. CALLE CESAR CHAVEZ
Second Line	:	STE B
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103
Country	:	US
Telephone Number	:	805-892-4501
Fax Number	:	805-892-4511

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. BROOKE RAE BLUNT
Credential	:
Telephone Number	:	805-892-4501

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	04/05/2011

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