Provider Demographics
NPI:1083917595
Name:HOMECARE CALIFORNIA
Entity Type:Organization
Organization Name:HOMECARE CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARTWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-804-8890
Mailing Address - Street 1:885 N SAN ANTONIO RD STE R
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1341
Mailing Address - Country:US
Mailing Address - Phone:650-324-2600
Mailing Address - Fax:866-779-8975
Practice Address - Street 1:885 N SAN ANTONIO RD STE R
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1341
Practice Address - Country:US
Practice Address - Phone:650-324-2600
Practice Address - Fax:866-779-8975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care