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CUSTOMCARE HOME HEALTH SERVICES
NPI 1720120330
Skilled Nursing Facility - Nursing Care, Pediatric in Sacramento, CA

Active since February 12, 2007
5524 ASSMBLY COURT 58, SACRAMENTO, CA 95823(916) 422-7327(916) 422-7303 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Customcare Home Health Services NPPES

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

CUSTOMCARE HOME HEALTH SERVICES (NPI 1720120330) is a healthcare organization registered as a nursing care, pediatric in Sacramento, California and active in the NPI registry since February 2007. The organization lists Kiesha Charlton, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1720120330
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameCUSTOMCARE HOME HEALTH SERVICES
Location Address5524 ASSMBLY COURT 58Sacramento, CA 95823
Mailing Address5524 Assembly Ct Ste 58Sacramento, CA 95823-2606 · (916) 422-7327 · Fax (916) 422-7303
Phone(916) 422-7327
Fax(916) 422-7303
Organization SubpartNo
Authorized OfficialKiesha CharltonBilling Manager · (916) 422-7327
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720120330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License✔ Licensed in CA · 315193
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
5524 ASSMBLY COURT 58, Sacramento, CA 95823
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Other Identifiers 1

OtherHHA57540FCA · Home Health

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 Customcare Home Health Services's NPI number?

The NPI number for Customcare Home Health Services is 1720120330. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Customcare Home Health Services located?

Customcare Home Health Services is located at 5524 Assmbly Court 58, Sacramento, CA 95823. The listed phone number is (916) 422-7327.

What is Customcare Home Health Services's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Customcare Home Health Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.