Provider Demographics
NPI:1790141125
Name:CARING HANDS ELDERLY CARE
Entity Type:Organization
Organization Name:CARING HANDS ELDERLY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:760-240-8684
Mailing Address - Street 1:16815 NEENACH RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1964
Mailing Address - Country:US
Mailing Address - Phone:760-240-8684
Mailing Address - Fax:909-581-0101
Practice Address - Street 1:16815 NEENACH RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1964
Practice Address - Country:US
Practice Address - Phone:760-240-8684
Practice Address - Fax:909-581-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility