Healthcare Provider Details

I. General information

NPI: 1912303587
Provider Name (Legal Business Name): THE CARING CONNECTION HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 06/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10727 WHITE OAK AVE SUITE 100
GRANADA HILLS CA
91344
US

IV. Provider business mailing address

10727 WHITE OAK AVE SUITE 100
GRANADA HILLS CA
91344-4631
US

V. Phone/Fax

Practice location:
  • Phone: 818-368-5110
  • Fax: 818-368-5117
Mailing address:
  • Phone: 818-368-5110
  • Fax: 818-368-5117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. MOIRA LETZER
Title or Position: OWNER/CEO
Credential:
Phone: 818-368-5110