Provider Demographics
NPI:1043602543
Name:NATION CARE INC CA
Entity Type:Organization
Organization Name:NATION CARE INC CA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:NDE
Authorized Official - Last Name:FON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-378-7720
Mailing Address - Street 1:5732 GRANITE CT
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08110-2820
Mailing Address - Country:US
Mailing Address - Phone:202-378-7720
Mailing Address - Fax:
Practice Address - Street 1:8611 CRENSHAW BLVD
Practice Address - Street 2:STE 210
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305-2343
Practice Address - Country:US
Practice Address - Phone:202-378-7720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-21
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care