Provider Demographics
NPI:1588998637
Name:CARETEMPS, LLC
Entity type:Organization
Organization Name:CARETEMPS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:COMBS
Authorized Official - Last Name:L;AUWERYS
Authorized Official - Suffix:
Authorized Official - Credentials:BA, PSYC, MBA, MHR
Authorized Official - Phone:916-476-4720
Mailing Address - Street 1:3104 O ST
Mailing Address - Street 2:#331
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6519
Mailing Address - Country:US
Mailing Address - Phone:916-476-4720
Mailing Address - Fax:916-476-4720
Practice Address - Street 1:6200 GREENHAVEN DR
Practice Address - Street 2:#205
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-1662
Practice Address - Country:US
Practice Address - Phone:916-533-4641
Practice Address - Fax:916-566-4641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1922233519OtherMEDI-CAL