Provider Demographics
NPI:1780448571
Name:AMERICAN CARE SERVICES, LLC
Entity type:Organization
Organization Name:AMERICAN CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HANY
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-606-5606
Mailing Address - Street 1:6117 E GARNET CIR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4856
Mailing Address - Country:US
Mailing Address - Phone:714-606-5606
Mailing Address - Fax:
Practice Address - Street 1:900 S HARVARD CIR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-5021
Practice Address - Country:US
Practice Address - Phone:714-606-5606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility