Provider Demographics
NPI:1922444553
Name:CARING LIKE FAMILY INC
Entity Type:Organization
Organization Name:CARING LIKE FAMILY INC
Other - Org Name:CARING LIKE FAMILY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRICKETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, C-FNP
Authorized Official - Phone:310-395-4788
Mailing Address - Street 1:4223 GLENCOE AVE
Mailing Address - Street 2:SUITE B-107
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5669
Mailing Address - Country:US
Mailing Address - Phone:310-573-8002
Mailing Address - Fax:310-305-4780
Practice Address - Street 1:4223 GLENCOE AVE
Practice Address - Street 2:SUITE B-107
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5669
Practice Address - Country:US
Practice Address - Phone:310-573-8002
Practice Address - Fax:310-305-4780
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING LIKE FAMILY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001516251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058285Medicare Oscar/Certification