Provider Demographics
NPI:1134511405
Name:CARING SISTERS LLC
Entity Type:Organization
Organization Name:CARING SISTERS LLC
Other - Org Name:CARING SISTERS HOMES & GARDEN @ LAKE FOREST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/LICENSEE
Authorized Official - Prefix:MISS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:CORTEZ
Authorized Official - Last Name:REY
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:949-613-1114
Mailing Address - Street 1:23191 LA VACA ST
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4521
Mailing Address - Country:US
Mailing Address - Phone:949-613-1114
Mailing Address - Fax:
Practice Address - Street 1:23191 LA VACA ST
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4521
Practice Address - Country:US
Practice Address - Phone:949-613-1114
Practice Address - Fax:949-916-8086
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING SISTERS LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306004588310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility