MEDICARE: EL HOGAR COMMUNITY SERVICES 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	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center	34BY	CA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1932286168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL HOGAR COMMUNITY SERVICES INC.

Provider Business Mailing Address
First Line	:	3841 N FREEWAY BLVD STE 245
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1969
Country	:	US
Telephone Number	:	916-441-0226
Fax Number	:	916-441-0286

Provider Business Practice Location Address
First Line	:	630 BERCUT DR STE C
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95811-0110
Country	:	US
Telephone Number	:	916-363-1553
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	GENELLE CAZARES
Credential	:	LCSW
Telephone Number	:	916-441-0226

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/06/2026

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