Provider Demographics
NPI:1205177581
Name:BAILEY CARE HOMES, INC.
Entity type:Organization
Organization Name:BAILEY CARE HOMES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-293-8722
Mailing Address - Street 1:23120 ALICIA PKWY
Mailing Address - Street 2:200
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1210
Mailing Address - Country:US
Mailing Address - Phone:949-597-0017
Mailing Address - Fax:949-606-7011
Practice Address - Street 1:306 W SIERRA MADRE AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-2070
Practice Address - Country:US
Practice Address - Phone:949-597-0017
Practice Address - Fax:949-606-7011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities