Provider Demographics
NPI:1174000855
Name:CLINICIANS CONNECT CARE HOME HEALTH & HOSPICE SERVICES
Entity Type:Organization
Organization Name:CLINICIANS CONNECT CARE HOME HEALTH & HOSPICE SERVICES
Other - Org Name:CLINICIANS CONNECT CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:CLAMOSA
Authorized Official - Last Name:CUBOL
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:510-709-7930
Mailing Address - Street 1:716 19TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811
Mailing Address - Country:US
Mailing Address - Phone:916-400-0775
Mailing Address - Fax:
Practice Address - Street 1:716 19TH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811
Practice Address - Country:US
Practice Address - Phone:916-686-1380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty