Customcare Home Health Services Inc.

LBN: Customcare Home Health Services Inc.
Customcare Home Health Services Inc. is an health care organization with primary practice located at 8837 Elk Grove Blvd Ste Aandb , Elk Grove CA 95624-1828. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Customcare Home Health Services Inc. can be contacted via phone (916) 714-1155, or through Acosta, Audrey via phone (916) 714-1155.

Contact Information

Primary practice address
8837 Elk Grove Blvd Ste Aandb Elk Grove CA 95624-1828
Phone: (916) 714-1155
Fax: (916) 405-3434
Website:
Map and Directions
Authorized official contact:
Name: Acosta, Audrey Registered Nurse (RN)
Phone: (916) 714-1155

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 100000543 California

Profile Details

NPI number 1003055195
LBN Legal business name Customcare Home Health Services Inc.
DBA Doing business as
Authorized official Acosta, Audrey Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2009
Last updated Jan 17th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003055195 NPPES
California MEDICAID 1003055195

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