Provider Demographics
NPI:1942906821
Name:NORCAL ELITE CARE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:NORCAL ELITE CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATIVE
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-753-4133
Mailing Address - Street 1:8412 BROOKLYN RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9561
Mailing Address - Country:US
Mailing Address - Phone:916-753-4133
Mailing Address - Fax:
Practice Address - Street 1:3050 FITE CIR STE 208B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-1807
Practice Address - Country:US
Practice Address - Phone:916-753-4133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health