Provider Demographics
NPI:1184207623
Name:SIMCARE HOMES LLC
Entity Type:Organization
Organization Name:SIMCARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PERLITA
Authorized Official - Middle Name:DE LA CRUZ
Authorized Official - Last Name:SIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RESPIRATORY THERAPY
Authorized Official - Phone:909-731-0212
Mailing Address - Street 1:155 BRACEBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-6115
Mailing Address - Country:US
Mailing Address - Phone:951-429-7142
Mailing Address - Fax:909-899-6330
Practice Address - Street 1:155 BRACEBRIDGE RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-6115
Practice Address - Country:US
Practice Address - Phone:951-429-7142
Practice Address - Fax:909-899-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility