PROHEALTH HOME CARE INC NPI 1497284145

NPI Information

NPI: 1497284145
Provider Name: PROHEALTH HOME CARE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2075328

Address:
1375 EXPOSITION BLVD SUITE 250B
SACRAMENTO, CA
ZIP 95815
Phone: (916) 221-5701
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PROHEALTH HOME CARE INC is a hospice care community based in Sacramento, CA. PROHEALTH HOME CARE INC NPI is 1497284145. The provider is registered as an organization entity type.

The provider's business location address is:

1375 EXPOSITION BLVD SUITE 250B
SACRAMENTO, CA
ZIP 95815
Phone: (916) 221-5701

The provider's authorized official is Mohamed Marleen .
The authorized official title is Ceo and has the following contact phone number (916) 221-5701.

The CLIA number assigned to this NPI record is 05D2075328 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2017 and was last updated on 6/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		921588	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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