Provider Demographics
NPI:1710918644
Name:TOP CARE REHAB INC
Entity Type:Organization
Organization Name:TOP CARE REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIVETTI
Authorized Official - Middle Name:BEATRICE
Authorized Official - Last Name:OSSOME
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:916-427-5613
Mailing Address - Street 1:PO BOX 582138
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-0036
Mailing Address - Country:US
Mailing Address - Phone:916-427-5613
Mailing Address - Fax:916-427-5641
Practice Address - Street 1:4813 TEGAN RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5149
Practice Address - Country:US
Practice Address - Phone:916-427-5613
Practice Address - Fax:916-427-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA080-0004266251E00000X
CA08-00004266261QP2000X, 314000000X
CA08-000042666261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility