Provider Demographics
NPI:1740796051
Name:TERPCARE
Entity Type:Organization
Organization Name:TERPCARE
Other - Org Name:FIRSTLIGHT HOME CARE OF PLACER COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT & GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TERPELUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-742-5328
Mailing Address - Street 1:729 SUNRISE AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4504
Mailing Address - Country:US
Mailing Address - Phone:916-742-5328
Mailing Address - Fax:801-807-4606
Practice Address - Street 1:729 SUNRISE AVE STE 301
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4504
Practice Address - Country:US
Practice Address - Phone:916-742-5328
Practice Address - Fax:801-807-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314700018253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care