Provider Demographics
NPI:1417058397
Name:AMERICAN CAREQUEST, INC
Entity Type:Organization
Organization Name:AMERICAN CAREQUEST, INC
Other - Org Name:AMERICAN CAREQUEST HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:RISKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-885-9100
Mailing Address - Street 1:819 COWAN RD.
Mailing Address - Street 2:SUITE C
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1220
Mailing Address - Country:US
Mailing Address - Phone:415-885-9100
Mailing Address - Fax:415-885-9107
Practice Address - Street 1:819 COWAN RD., SUITE C
Practice Address - Street 2:STE C
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1220
Practice Address - Country:US
Practice Address - Phone:415-885-9100
Practice Address - Fax:415-885-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220000497251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-8315Medicare ID - Type UnspecifiedHOME HEALTH AGENCY