# CIMINOCARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1992553739
- **Authorized official:** MR. MARK J CIMINO SR. (CEO)
- **Authorized official phone:** (916) 704-6275

## Contact information

- **Practice address:** 7920 ALTA SUNRISE DR STE 250, CITRUS HEIGHTS, CA 95610-7963
- **Practice address phone:** (916) 486-9639
- **Practice address fax:** (916) 750-5701
- **Mailing address:** 7920 ALTA SUNRISE DR STE 250, CITRUS HEIGHTS, CA 95610-7963
- **Mailing address phone:** (916) 486-9639
- **Mailing address fax:** (916) 750-5701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2024
- **Last updated:** 05/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 171M00000X | CASE MANAGER/CARE COORDINATOR | CA |