Provider Demographics
NPI:1023218369
Name:RESCARE HOME CARE
Entity Type:Organization
Organization Name:RESCARE HOME CARE
Other - Org Name:SOCAL HOME CARE-GIVERS SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:800-707-8781
Mailing Address - Street 1:3187 RED HILL AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3410
Mailing Address - Country:US
Mailing Address - Phone:800-707-8781
Mailing Address - Fax:714-662-3087
Practice Address - Street 1:3187 RED HILL AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3410
Practice Address - Country:US
Practice Address - Phone:800-707-8781
Practice Address - Fax:714-662-3087
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health