Provider Demographics
NPI:1295220499
Name:EXCLUSIVESENIOR CARE, INC.
Entity Type:Organization
Organization Name:EXCLUSIVESENIOR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWEENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-623-2333
Mailing Address - Street 1:6486 E CALLE DEL NORTE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4204
Mailing Address - Country:US
Mailing Address - Phone:714-623-2333
Mailing Address - Fax:714-602-2313
Practice Address - Street 1:6482 E VIA ARBOLES
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4219
Practice Address - Country:US
Practice Address - Phone:714-673-0032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306005196310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility