Healthcare Provider Details

I. General information

NPI: 1740290154
Provider Name (Legal Business Name): CARE CONNEXXUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 ADAMS ST SUITE B
RIVERSIDE CA
92504-3009
US

IV. Provider business mailing address

4130 ADAMS ST SUITE B
RIVERSIDE CA
92504-3009
US

V. Phone/Fax

Practice location:
  • Phone: 951-509-2500
  • Fax: 951-509-2578
Mailing address:
  • Phone: 951-509-2500
  • Fax: 951-509-2578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. JEANNE KLINGENBERGER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 951-509-2500