Provider Demographics
NPI:1629207006
Name:ALLCARE CAREGIVERS
Entity Type:Organization
Organization Name:ALLCARE CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MIREYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-857-1566
Mailing Address - Street 1:17514 VENTURA BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3852
Mailing Address - Country:US
Mailing Address - Phone:866-372-8838
Mailing Address - Fax:888-231-1144
Practice Address - Street 1:17514 VENTURA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3852
Practice Address - Country:US
Practice Address - Phone:866-372-8838
Practice Address - Fax:888-231-1144
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLSTATE NURSING SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health