Provider Demographics
NPI:1578015194
Name:SILVER WINGS HOME CARE, INC.
Entity Type:Organization
Organization Name:SILVER WINGS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDMUND
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:SR
Authorized Official - Credentials:RN
Authorized Official - Phone:916-330-0961
Mailing Address - Street 1:333 UNIVERSITY AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6531
Mailing Address - Country:US
Mailing Address - Phone:916-330-0961
Mailing Address - Fax:
Practice Address - Street 1:333 UNIVERSITY AVE
Practice Address - Street 2:STE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6531
Practice Address - Country:US
Practice Address - Phone:916-330-0961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care