Provider Demographics
NPI:1356511307
Name:CARE DIMENSIONS LLC
Entity Type:Organization
Organization Name:CARE DIMENSIONS LLC
Other - Org Name:CARE DIMENSIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING MEMBER OF THE LLC
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-619-8766
Mailing Address - Street 1:3401 W SUNFLOWER AVE.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6948
Mailing Address - Country:US
Mailing Address - Phone:714-619-8766
Mailing Address - Fax:714-619-8769
Practice Address - Street 1:2025 N GLENOAKS BLVD.
Practice Address - Street 2:SUITE 102
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-2832
Practice Address - Country:US
Practice Address - Phone:818-319-3477
Practice Address - Fax:818-736-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000329251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550000329OtherDEPARTMENT OF PUBLIC HEALTH
058470Medicare Oscar/Certification
CA058470Medicare Oscar/Certification