Provider Demographics
NPI:1235511841
Name:CARESATION LLC
Entity Type:Organization
Organization Name:CARESATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DZANETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMRAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-285-3755
Mailing Address - Street 1:1720 E LOS ANGELES AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2033
Mailing Address - Country:US
Mailing Address - Phone:805-285-3755
Mailing Address - Fax:888-496-3797
Practice Address - Street 1:14555 KESWICK ST STE 200
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1202
Practice Address - Country:US
Practice Address - Phone:805-285-3755
Practice Address - Fax:888-496-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health