Provider Demographics
NPI:1396740965
Name:CARE AT HOME, INC.
Entity type:Organization
Organization Name:CARE AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTOMARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-379-3990
Mailing Address - Street 1:1333 BUSH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5611
Mailing Address - Country:US
Mailing Address - Phone:408-379-3990
Mailing Address - Fax:415-421-1649
Practice Address - Street 1:1333 BUSH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5611
Practice Address - Country:US
Practice Address - Phone:408-379-3990
Practice Address - Fax:415-421-1649
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ON LOK INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-20
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220000453251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-9179Medicaid
CA059179Medicare Oscar/Certification