Healthcare Provider Details
I. General information
NPI: 1891439550
Provider Name (Legal Business Name): CARING HANDS HEALTHCARE TRAINING ACADEMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2022
Last Update Date: 08/22/2023
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1303 E ESTHER ST
LONG BEACH CA
90813-2223
US
IV. Provider business mailing address
2892 N BELLFLOWER BLVD # 363
LONG BEACH CA
90815-1125
US
V. Phone/Fax
- Phone: 714-818-8497
- Fax:
- Phone: 714-818-8497
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MONICA
LAURANN
MCCLUNG
Title or Position: OWNER/ADMINISTRATOR
Credential: RREGISTERED NURSE
Phone: 714-818-8497