Provider Demographics
NPI:1225196157
Name:MULTICARE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:MULTICARE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:TORRES
Authorized Official - Last Name:FABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:213-351-9418
Mailing Address - Street 1:213 N ORANGE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2667
Mailing Address - Country:US
Mailing Address - Phone:818-241-7700
Mailing Address - Fax:818-241-7707
Practice Address - Street 1:213 N ORANGE ST
Practice Address - Street 2:SUITE E
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2667
Practice Address - Country:US
Practice Address - Phone:818-241-7700
Practice Address - Fax:818-241-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-8337Medicare ID - Type UnspecifiedHOME HEALTH AGENCY