# CALIFORNIA IN HOME CARE & REGISTRY, INC

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

## Provider details

- **NPI number:** 1679064836
- **Authorized official:** MS. JEHAZIEL AVANCENA (CEO)
- **Authorized official phone:** (415) 578-2069

## Contact information

- **Practice address:** 14B MITCHELL BLVD, SUITE B, SAN RAFAEL, CA 94903
- **Practice address phone:** (415) 578-2067
- **Practice address fax:** (415) 785-8248
- **Mailing address:** 14B MITCHELL BLVD, SUITE B, SAN RAFAEL, CA 94903
- **Mailing address phone:** (415) 578-2067
- **Mailing address fax:** (415) 785-8248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | COSS214700023 | CA | Yes |

## Other

- **Enumeration date:** 05/23/2018
- **Last updated:** 05/30/2018