Organization Active NPI

Tabotabo'S Home Care LLC

  • In Home Supportive Care Agency
  • Placerville, CA
National Provider Identifier
1912641697
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TABOTABO'S HOME CARE LLC
Practice address
2815 Silvercrest St
Placerville, CA 95667-3459
Phone
(209) 636-9288
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Lara Tabotabo
Title
Owner/Administrator
Phone
(209) 636-9288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2815 Silvercrest St
Placerville, CA 95667-3459

Mailing address

2815 Silvercrest St
Placerville, CA 95667-3459
Phone (209) 636-9288

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1912641697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 SILVERCREST ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956673459",
            "telephone_number": "209-636-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 SILVERCREST ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956673459",
            "telephone_number": "209-636-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOTABO'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "TABOTABO",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "209-636-9288"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.