Provider Demographics
NPI:1346093192
Name:CARE LIGHT INC
Entity Type:Organization
Organization Name:CARE LIGHT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-789-3250
Mailing Address - Street 1:16861 VENTURA BLVD STE 309
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1772
Mailing Address - Country:US
Mailing Address - Phone:818-789-3250
Mailing Address - Fax:818-981-1476
Practice Address - Street 1:16861 VENTURA BLVD STE 309
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1772
Practice Address - Country:US
Practice Address - Phone:818-789-3250
Practice Address - Fax:818-981-1476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health