MEDICARE: CENTRAL CALIFORNIA HEALTHCARE INCORPORATED

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750685822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL CALIFORNIA HEALTHCARE INCORPORATED

Provider Business Mailing Address
First Line	:	2440 W SHAW AVE STE 110
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3300
Country	:	US
Telephone Number	:	559-224-8585
Fax Number	:	559-224-8588

Provider Business Practice Location Address
First Line	:	2440 W SHAW AVE STE 110
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3300
Country	:	US
Telephone Number	:	559-224-8585
Fax Number	:	559-224-8588

Authorized Official
Title or Position	:	CEO
Name	:	CESAR E ANAYA
Credential	:
Telephone Number	:	559-224-8585

Provider Enumeration Date	:	01/05/2011
Last Update Date	:	04/01/2026

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