Provider Demographics
NPI:1588697254
Name:FOCUS HOME CARE
Entity type:Organization
Organization Name:FOCUS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COSENZA
Authorized Official - Suffix:
Authorized Official - Credentials:CLS
Authorized Official - Phone:800-600-3554
Mailing Address - Street 1:177 BOVET RD FL 6
Mailing Address - Street 2:ATTN: CD BILLING
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3116
Mailing Address - Country:US
Mailing Address - Phone:701-255-9279
Mailing Address - Fax:701-222-4142
Practice Address - Street 1:4892 SCREECH OWL CREEK RD
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-8073
Practice Address - Country:US
Practice Address - Phone:800-600-3554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALAB98956FMedicaid
CA05D0898956OtherCLIA
CALAB98956FMedicaid
CAZZZ01277ZMedicare ID - Type Unspecified