Provider Demographics
NPI:1508106642
Name:CARE 4 U GROUP HOMES, LLC #2
Entity Type:Organization
Organization Name:CARE 4 U GROUP HOMES, LLC #2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GEARHEART
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, MANAGER
Authorized Official - Phone:623-374-3581
Mailing Address - Street 1:12706 W BOCA RATON RD
Mailing Address - Street 2:
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-4902
Mailing Address - Country:US
Mailing Address - Phone:623-374-3581
Mailing Address - Fax:623-374-3581
Practice Address - Street 1:12706 W BOCA RATON
Practice Address - Street 2:
Practice Address - City:EL MIRAGE
Practice Address - State:AZ
Practice Address - Zip Code:85335
Practice Address - Country:US
Practice Address - Phone:623-374-3581
Practice Address - Fax:623-374-3581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL8972H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility