Provider Demographics
NPI:1275397945
Name:WE CARE 4D RESIDENCE, LLC
Entity Type:Organization
Organization Name:WE CARE 4D RESIDENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONN RAMON
Authorized Official - Middle Name:ORTIZO
Authorized Official - Last Name:LIGASON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:386-341-1486
Mailing Address - Street 1:3858 MOONGATE CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-0134
Mailing Address - Country:US
Mailing Address - Phone:702-463-4275
Mailing Address - Fax:702-331-4147
Practice Address - Street 1:3858 MOONGATE CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-0134
Practice Address - Country:US
Practice Address - Phone:702-463-4275
Practice Address - Fax:702-331-4147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home