Provider Demographics
NPI:1841351343
Name:ALL CARE ENTERPRISES INC.
Entity type:Organization
Organization Name:ALL CARE ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-768-1600
Mailing Address - Street 1:1225 W 190TH ST STE 260
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-4305
Mailing Address - Country:US
Mailing Address - Phone:310-768-1600
Mailing Address - Fax:310-768-8400
Practice Address - Street 1:1225 W 190TH ST STE 260
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-4305
Practice Address - Country:US
Practice Address - Phone:310-768-1600
Practice Address - Fax:310-768-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001556251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058256Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER