Healthcare Provider Details

I. General information

NPI: 1295930451
Provider Name (Legal Business Name): PARTNERS N CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 06/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5873 BUD CT
RIVERSIDE CA
92506-4517
US

IV. Provider business mailing address

5873 BUD CT
RIVERSIDE CA
92506-4517
US

V. Phone/Fax

Practice location:
  • Phone: 951-213-6314
  • Fax:
Mailing address:
  • Phone: 951-213-6314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number336423324
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number336423324
License Number StateCA

VIII. Authorized Official

Name: KARIN VAUGHN
Title or Position: ADMINISTRATOR
Credential:
Phone: 951-213-6314