Provider Demographics
NPI:1720503741
Name:ISLANDS BEST HOMECARE LLC
Entity Type:Organization
Organization Name:ISLANDS BEST HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARCITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYABYAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-409-3188
Mailing Address - Street 1:30875 AVENIDA JUAREZ
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-2989
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30875 AVENIDA JUAREZ
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-2989
Practice Address - Country:US
Practice Address - Phone:760-832-8975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA336423364310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility