Provider Demographics
NPI:1639476856
Name:CARE DIMENSIONS, LLC
Entity Type:Organization
Organization Name:CARE DIMENSIONS, LLC
Other - Org Name:CARE DIMENSIONS - SAN DIEGO
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:T
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-619-8766
Mailing Address - Street 1:3401 W SUNFLOWER AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6948
Mailing Address - Country:US
Mailing Address - Phone:714-619-8766
Mailing Address - Fax:714-439-9603
Practice Address - Street 1:11440 W BERNARDO CT
Practice Address - Street 2:SUITE 310
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1641
Practice Address - Country:US
Practice Address - Phone:888-366-7088
Practice Address - Fax:858-834-4084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health