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Customcare Home Health Services
Pediatric Skilled Nursing Facility in Sacramento, California
NPI 1720120330

Customcare Home Health Services is a Pediatric Skilled Nursing Facility based in Sacramento, CA and is specialized in Nursing Care, Pediatric. Customcare Home Health Services practices in Sacramento, CA. The NPI Number for Customcare Home Health Services is 1720120330 and holds a License No. 315193 (California).

The current practice location address for Customcare Home Health Services is 5524 Assmbly Court 58, Sacramento, CA and can be reached out via phone at 916-422-7327 and via fax at 916-422-7303.

Location: 5524 Assmbly Court 58, Sacramento, CA, 95823-2606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720120330
Provider Name
Customcare Home Health Services
Credential
Provider Entity Type
Organization
Address
5524 Assmbly Court 58, Sacramento, CA, 95823-2606
Phone Number
916-422-7327
Fax Number
916-422-7303
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HHA57540F 01 CA HOME HEALTH
institution
Provider Business Practice Location Address Details
Address
5524 Assmbly Court 58
City
Sacramento
State
California
Zip
95823
Phone Number
916-422-7327
Fax Number
916-422-7303
person
Provider Business Mailing Address Details
Address
5524 Assmbly Court 58
City
Sacramento
State
California
Zip
95823
Phone Number
916-422-7327
Fax Number
916-422-7303
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
315193 (California)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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