Provider Demographics
NPI:1265193015
Name:EL HOGAR COMMUNITY SERVICES, INC.
Entity type:Organization
Organization Name:EL HOGAR COMMUNITY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GENELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAZARES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:916-441-0226
Mailing Address - Street 1:4433 FLORIN RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2527
Mailing Address - Country:US
Mailing Address - Phone:916-234-2578
Mailing Address - Fax:916-236-2578
Practice Address - Street 1:4433 FLORIN RD STE 600
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2527
Practice Address - Country:US
Practice Address - Phone:916-234-2578
Practice Address - Fax:916-236-2578
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EL HOGAR COMMUNITY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-04
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health