Provider Demographics
NPI:1578158267
Name:ENJOY THE MOMENT'S SENIOR CARE SERVICES LLC
Entity Type:Organization
Organization Name:ENJOY THE MOMENT'S SENIOR CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:QUATINA
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-920-3400
Mailing Address - Street 1:5505 SANTA CANYON ROAD 17971
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92517
Mailing Address - Country:US
Mailing Address - Phone:310-920-3400
Mailing Address - Fax:310-920-3400
Practice Address - Street 1:5505 SANTA ANA CANYON ROAD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92817
Practice Address - Country:US
Practice Address - Phone:949-973-1524
Practice Address - Fax:310-920-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health