Provider Demographics
NPI:1801038401
Name:CARNEGIE CARR CORP
Entity Type:Organization
Organization Name:CARNEGIE CARR CORP
Other - Org Name:FISHER HOUSE ASSISTED LIVING
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMISISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EFALE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:805-687-4646
Mailing Address - Street 1:2324 CHAPALA STREET,
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105
Mailing Address - Country:US
Mailing Address - Phone:805-687-4646
Mailing Address - Fax:805-687-1746
Practice Address - Street 1:2324 CHAPALA STREET,
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105
Practice Address - Country:US
Practice Address - Phone:805-687-4646
Practice Address - Fax:805-687-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425801369310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility