Provider Demographics
NPI:1942085485
Name:CARE 4 ONE LL
Entity Type:Organization
Organization Name:CARE 4 ONE LL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:MORALES
Authorized Official - Last Name:ELEGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-464-3891
Mailing Address - Street 1:3910 BAYVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-1307
Mailing Address - Country:US
Mailing Address - Phone:925-464-3891
Mailing Address - Fax:
Practice Address - Street 1:3910 BAYVIEW CIR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1307
Practice Address - Country:US
Practice Address - Phone:925-464-3891
Practice Address - Fax:925-349-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility