Provider Demographics
NPI:1790203636
Name:CALIFORNIA HOME CARE SERVICES
Entity Type:Organization
Organization Name:CALIFORNIA HOME CARE SERVICES
Other - Org Name:CALIFORNIA HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-205-9222
Mailing Address - Street 1:2432 CAMINO PARK CT APT 15
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-5158
Mailing Address - Country:US
Mailing Address - Phone:707-205-9222
Mailing Address - Fax:
Practice Address - Street 1:2432 CAMINO PARK CT APT 15
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-5158
Practice Address - Country:US
Practice Address - Phone:707-205-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IT WAS ALL A DREAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child