Provider Demographics
NPI:1558856963
Name:CARE PRO, INC.
Entity Type:Organization
Organization Name:CARE PRO, INC.
Other - Org Name:EVERLIGHT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-353-2847
Mailing Address - Street 1:401 W FALLBROOK AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-5834
Mailing Address - Country:US
Mailing Address - Phone:559-353-2847
Mailing Address - Fax:559-492-3650
Practice Address - Street 1:401 W FALLBROOK AVE STE 108
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-5834
Practice Address - Country:US
Practice Address - Phone:559-353-2847
Practice Address - Fax:559-492-3650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE PRO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10470031253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care