MEDICARE: BEST CARE LLC

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	311Z00000X	Custodial Care Facility	347005599	CA

General Provider Information

NPI Number	:	1821482217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CARE LLC

Provider Business Mailing Address
First Line	:	8705 GREAT CT
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-1873
Country	:	US
Telephone Number	:	916-307-9603
Fax Number	:

Provider Business Practice Location Address
First Line	:	8705 GREAT CT
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-1873
Country	:	US
Telephone Number	:	916-307-9603
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MONALISA LEGASPI
Credential	:
Telephone Number	:	916-307-9603

Provider Enumeration Date	:	03/24/2015
Last Update Date	:	03/24/2015

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