MEDICARE: THE CARING BUNCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366981698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CARING BUNCH

Provider Business Mailing Address
First Line	:	22280 CIRCLE J RANCH RD
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91350-3304
Country	:	US
Telephone Number	:	818-360-8046
Fax Number	:	661-670-8205

Provider Business Practice Location Address
First Line	:	16438 BLACKHAWK ST
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-6731
Country	:	US
Telephone Number	:	818-832-8619
Fax Number	:	818-831-7617

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARIANO R LACSAMANA
Credential	:
Telephone Number	:	818-360-8046

Provider Enumeration Date	:	02/20/2017
Last Update Date	:	02/20/2017

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Directions to “THE CARING BUNCH ” Practice Location

Language	Start Address	Practice Location

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