Provider Demographics
NPI:1124324959
Name:AVCARE - SENIORS IN-HOME HELPMATES
Entity type:Organization
Organization Name:AVCARE - SENIORS IN-HOME HELPMATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:G
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-557-4908
Mailing Address - Street 1:675 YGNACIO VALLEY RD
Mailing Address - Street 2:SUITE B-108
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3860
Mailing Address - Country:US
Mailing Address - Phone:800-557-4908
Mailing Address - Fax:888-495-1688
Practice Address - Street 1:675 YGNACIO VALLEY RD
Practice Address - Street 2:STE B-108
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3860
Practice Address - Country:US
Practice Address - Phone:800-557-4905
Practice Address - Fax:888-495-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care