Patricia Bowles

Individual provider Active NPI Case Manager/Care Coordinator · Loomis, CA

NPI 1821867904 · NPPES record last updated Dec 29, 2023

Key facts

NPI
1821867904
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3725 Taylor Rd
Loomis, CA 95650-9283
Phone
(916) 652-5814
NPI assigned
Dec 29, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Koinonia Foster Homes, Inc. Past
since Dec 31, 2023
Accepting new patients
Koinonia Foster Homes, Inc. Past
since Dec 31, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3725 Taylor Rd
Loomis, CA 95650-9283

Mailing address

3725 Taylor Rd
Loomis, CA 95650-9283
Phone (916) 652-5814

Other providers in Loomis, CA

All providers in Loomis, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.