# 21ST CENTURY HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Care for the 21st Century- Stockton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790422392
- **Authorized official:** ELMAR MONTERO SIBAYAN DOCTOR OF PHYSICAL T (ADMINISTRATOR)
- **Authorized official phone:** (559) 802-0518

## Contact information

- **Practice address:** 1743 GRAND CANAL BLVD STE 11, STOCKTON, CA 95207-8108
- **Practice address phone:** (209) 482-3492
- **Practice address fax:** (209) 451-1419
- **Mailing address:** 1743 GRAND CANAL BLVD STE 11, STOCKTON, CA 95207-8108
- **Mailing address phone:** (209) 482-3492
- **Mailing address fax:** (209) 451-1419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 09/02/2025