AHCCK LLC NPI 1841297157

NPI Information

  • NPI: 1841297157
  • Provider Name: AHCCK LLC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: COUNTRY HOME HEALTH CARE
  • Address: 9370 W STOCKTON BLVD
    STE 130
    ELK GROVE, CA
    ZIP 95758
  • Phone: (916) 691-4100

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NPI Details

AHCCK LLC is a home health in Elk Grove, CA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. AHCCK LLC NPI is 1841297157. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Home Health Care.

The provider's business location address is:

9370 W STOCKTON BLVD
STE 130
ELK GROVE, CA
ZIP 95758-013
Phone: (916) 691-4100
Fax: (916) 691-4111

The provider's authorized official is Dee R Bangerter .
The authorized official title is Ceo/president and has the following contact phone number (801) 397-4000.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 6/10/2016.

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
1251E00000XHome Health100000487CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1057404MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2HHA07404GMEDICAIDCALIFORNIA
3CGP166248OTHERCALIFORNIACALIFORNIA CHILDREN SERVICES
4ZZZ03663ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA

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: 11/21/2025

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