Healthcare Provider Details

I. General information

NPI: 1396069647
Provider Name (Legal Business Name): CARE 1ST SENIOR ASSISTANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 E HARVARD RD
BURBANK CA
91501-1329
US

IV. Provider business mailing address

1075 E HARVARD RD
BURBANK CA
91501-1329
US

V. Phone/Fax

Practice location:
  • Phone: 818-842-5274
  • Fax: 818-842-5274
Mailing address:
  • Phone: 818-842-5274
  • Fax: 818-842-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberBT1001619
License Number StateCA

VIII. Authorized Official

Name: AURORA ACLAN GAROIAN
Title or Position: OWNER
Credential:
Phone: 818-842-5274