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CALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC
NPI 1245930452
Home Health in Modesto, CA

Active since March 07, 2023CLIA 05D2285867 · Waiver
3600 SISK RD STE 11, MODESTO, CA 95356(209) 408-8022(209) 408-8294 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About California Clinical Care Home Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC (NPI 1245930452) is a healthcare organization registered as a home health in Modesto, California and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Ellen Jae Cave, Ceo, Administrator, Dpcs, as its authorized official.

NPPES Registry Identity

NPI1245930452
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCALIFORNIA CLINICAL CARE HOME HEALTH SERVICES LLC
Location Address3600 SISK RD STE 11Modesto, CA 95356-0535
Mailing Address717 W Atherton Dr Apt 231Manteca, CA 95337-9531 · (510) 386-3193
Phone(209) 408-8022
Fax(209) 408-8294
Organization SubpartNo
Authorized OfficialEllen Jae CaveCeo, Administrator, Dpcs · (209) 408-8022
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1245930452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3600 SISK RD STE 11, Modesto, CA 95356
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2285867

California Clinical Care Home Health Services LLC · Modesto, CA
Active · expires Jul 18, 2027
CLIA Number05D2285867
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorDr. Kevin Lawrence
Laboratory Phone(209) 408-8022
Laboratory LocationCalifornia Clinical Care Home Health Services LLC3600 Sisk Rd Suite 11, Modesto, CA 95356
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is California Clinical Care Home Health Services LLC's NPI number?

The NPI number for California Clinical Care Home Health Services LLC is 1245930452. It was assigned to this organization in the NPPES registry on March 7, 2023.

Where is California Clinical Care Home Health Services LLC located?

California Clinical Care Home Health Services LLC is located at 3600 Sisk Rd Ste 11, Modesto, CA 95356. The listed phone number is (209) 408-8022.

What is California Clinical Care Home Health Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does California Clinical Care Home Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2285867) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for California Clinical Care Home Health Services LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.