Home Care El Shamah LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOME CARE EL SHAMAH LLC

Practice address

4991 44TH St
Sacramento, CA 95820-5127

Phone

(916) 840-5530

Fax

(916) 840-5530

NPI assigned

Feb 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bolou Matamadura

Title

Co Owner

Phone

(916) 856-2749

Specialties & licenses 1

Addresses

Other names 1

• In Home Care El Shamah LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1003679044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 MARLA WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587232",
            "telephone_number": "916-856-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 44TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205127",
            "telephone_number": "916-840-5530",
            "fax_number": "916-840-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE EL SHAMAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "MATAMADURA",
        "authorized_official_first_name": "BOLOU",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "916-856-2749"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Home Care El Shamah LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michelle Hinrich Holycross
• Andrew Lloyd Holz, M.D.
• Austin Holzman
• Smiley Hom, PHARM D
• Heather Homan
• Home Sweet Home II
• Christina Marie Homer, CADC1, BSBM
• Kendall Don Homer, DMD
• Kristy Homer, SLP
• Randall Scott Homer, NP, PA

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.