1851845721 NPI number — ALL CARE CHOICES, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851845721 NPI number — ALL CARE CHOICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL CARE CHOICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COMFORT KEEPERS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851845721
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30011 IVY GLENN DR
Provider Second Line Business Mailing Address:
SUITE 102-B
Provider Business Mailing Address City Name:
LAGUNA NIGUEL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92677-5014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-481-6900
Provider Business Mailing Address Fax Number:
949-481-6901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30011 IVY GLENN DR
Provider Second Line Business Practice Location Address:
SUITE 102-B
Provider Business Practice Location Address City Name:
LAGUNA NIGUEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92677-5014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-481-6900
Provider Business Practice Location Address Fax Number:
949-481-6901
Provider Enumeration Date:
08/09/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CRUZ
Authorized Official First Name:
LOLITA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
949-481-6900

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  304700042 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)