MEDICARE: REDWOOD CARE CO.

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	:	1730900911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDWOOD CARE CO.

Provider Business Mailing Address
First Line	:	1731 POWELL ST UNIT 203
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94133-2895
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2061 CLARMAR WAY STE B
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1706
Country	:	US
Telephone Number	:	408-446-1199
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANEESH JAIN
Credential	:
Telephone Number	:	609-364-6526

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	10/21/2024

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Directions to “REDWOOD CARE CO. ” Practice Location

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