Organization Active NPI

Indecare Corporation

  • Personal Care Attendant
  • Sacramento, CA
National Provider Identifier
1053134445
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
INDECARE CORPORATION
Practice address
9616 Micron Ave Ste 730
Sacramento, CA 95827-2626
Phone
(916) 973-1264
Fax
(866) 563-1306
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Alan Fisher
Title
President
Phone
(916) 973-1264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

9616 Micron Ave Ste 730
Sacramento, CA 95827-2626

Mailing address

9616 Micron Ave Ste 730
Sacramento, CA 95827-2626
Phone (916) 973-1264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1053134445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 MICRON AVE STE 730",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272626",
            "telephone_number": "916-973-1264",
            "fax_number": "866-563-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 MICRON AVE STE 730",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272626",
            "telephone_number": "916-973-1264",
            "fax_number": "866-563-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDECARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-973-1264"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.