Provider Demographics
NPI:1811317811
Name:AMERICAN RIVER HOME CARE
Entity type:Organization
Organization Name:AMERICAN RIVER HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-515-8652
Mailing Address - Street 1:1451 RIVER PARK DR
Mailing Address - Street 2:SUITE 244
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4507
Mailing Address - Country:US
Mailing Address - Phone:916-209-4400
Mailing Address - Fax:916-209-4401
Practice Address - Street 1:1451 RIVER PARK DR
Practice Address - Street 2:SUITE 244
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4507
Practice Address - Country:US
Practice Address - Phone:916-209-4400
Practice Address - Fax:916-209-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health