Provider Demographics
NPI:1477270999
Name:1ST CARING TRADITIONS
Entity Type:Organization
Organization Name:1ST CARING TRADITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-447-4802
Mailing Address - Street 1:3234 TOURNAMENT DR
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-5618
Mailing Address - Country:US
Mailing Address - Phone:661-441-0023
Mailing Address - Fax:661-998-8387
Practice Address - Street 1:3234 TOURNAMENT DR
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-5618
Practice Address - Country:US
Practice Address - Phone:661-441-0023
Practice Address - Fax:661-998-8387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility