# CUSTOMCARE HOME HEALTH SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003055195
- **Authorized official:** MS. AUDREY ACOSTA RN (OWNER/OPERATOR/ADMINISTRATOR)
- **Authorized official phone:** (916) 714-1155

## Contact information

- **Practice address:** 8837 ELK GROVE BLVD STE AANDB, ELK GROVE, CA 95624-1828
- **Practice address phone:** (916) 714-1155
- **Practice address fax:** (916) 405-3434
- **Mailing address:** PO BOX 2792, ELK GROVE, CA 95759-2792
- **Mailing address phone:** (916) 714-1155
- **Mailing address fax:** (916) 714-1165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 100000543 | CA | Yes |

## Other

- **Enumeration date:** 02/12/2009
- **Last updated:** 01/17/2020