Provider Demographics
NPI:1518398486
Name:CAREFREE ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:CAREFREE ASSISTED LIVING LLC
Other - Org Name:CAREFREE ASSISTED LIVING LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLIFF
Authorized Official - Middle Name:
Authorized Official - Last Name:EITENNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-749-3200
Mailing Address - Street 1:3430 E FLAMINGO RD STE 324
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5067
Mailing Address - Country:US
Mailing Address - Phone:702-749-3200
Mailing Address - Fax:
Practice Address - Street 1:3430 E FLAMINGO RD STE 324
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5067
Practice Address - Country:US
Practice Address - Phone:702-749-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health