Provider Demographics
NPI:1497389548
Name:CARING PARTNERS ASSISTED LIVING SERVICES LLC
Entity Type:Organization
Organization Name:CARING PARTNERS ASSISTED LIVING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HERMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-757-0391
Mailing Address - Street 1:3114 PAYSON WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3401
Mailing Address - Country:US
Mailing Address - Phone:917-757-0391
Mailing Address - Fax:
Practice Address - Street 1:13674 STAIMFORD DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8939
Practice Address - Country:US
Practice Address - Phone:561-568-5338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility