MEDICARE: ARCAM HOME HEALTH CARE

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	:	1780034579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCAM HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	25115 AVENUE STANFORD STE A211
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-1290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25115 AVENUE STANFORD STE A211
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-1290
Country	:	US
Telephone Number	:	661-678-0330
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. RONALD SALVATUS CAMUA
Credential	:	R.N.
Telephone Number	:	661-678-0330

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	06/13/2016

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Directions to “ARCAM HOME HEALTH CARE ” Practice Location

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