California Clinical Care Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC

Practice address

3600 Sisk Rd Ste 11
Modesto, CA 95356-0535

Phone

(209) 408-8022

Fax

(209) 408-8294

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Ellen Jae Cave, RN

Title

Ceo, Administrator, DPCS

Phone

(209) 408-8022

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245930452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W ATHERTON DR APT 231",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953379531",
            "telephone_number": "510-386-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SISK RD STE 11",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560535",
            "telephone_number": "209-408-8022",
            "fax_number": "209-408-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CAVE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR, DPCS",
        "authorized_official_telephone_number": "209-408-8022",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Modesto, CA
• Providers in Modesto, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.