Provider Demographics
NPI:1639115587
Name:CALIFORNIA HOME CARE AND HOSPICE, INC.
Entity Type:Organization
Organization Name:CALIFORNIA HOME CARE AND HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALSGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BNS, PHN
Authorized Official - Phone:209-722-2273
Mailing Address - Street 1:3381 G ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-0964
Mailing Address - Country:US
Mailing Address - Phone:209-722-2273
Mailing Address - Fax:209-722-2295
Practice Address - Street 1:3381 G ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0964
Practice Address - Country:US
Practice Address - Phone:209-722-2273
Practice Address - Fax:209-722-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57404FMedicaid
CAHPC01627FMedicaid
CA051627Medicare ID - Type UnspecifiedMEDICARE HOSPICE
CA557404Medicare ID - Type UnspecifiedMEDICARE HOME CARE