Provider Demographics
NPI:1073112744
Name:CAREFREE HOME CARE
Entity Type:Organization
Organization Name:CAREFREE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WULFF
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-501-9801
Mailing Address - Street 1:PO BOX 514
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:90743-0514
Mailing Address - Country:US
Mailing Address - Phone:714-501-9801
Mailing Address - Fax:714-276-1464
Practice Address - Street 1:850 E CHAPMAN AVE STE A
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-1649
Practice Address - Country:US
Practice Address - Phone:714-501-9801
Practice Address - Fax:714-276-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care