Provider Demographics
NPI:1184748204
Name:CARE UNLIMITED HEALTH SERVICES, INC
Entity type:Organization
Organization Name:CARE UNLIMITED HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEDDERBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-332-3767
Mailing Address - Street 1:1025 W ARROW HWY
Mailing Address - Street 2:STE 105
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-5450
Mailing Address - Country:US
Mailing Address - Phone:626-332-3767
Mailing Address - Fax:626-332-9979
Practice Address - Street 1:1025 W ARROW HWY
Practice Address - Street 2:STE 105
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5450
Practice Address - Country:US
Practice Address - Phone:626-332-3767
Practice Address - Fax:626-332-9979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08116FMedicaid
CA058116Medicare Oscar/Certification