MEDICARE: CARE DIMENSIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1073871620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE DIMENSIONS LLC

Provider Business Mailing Address
First Line	:	3401 W SUNFLOWER AVE
Second Line	:	200
City	:	SANTA ANA
State	:	CA
Zip	:	92704-6948
Country	:	US
Telephone Number	:	714-619-8766
Fax Number	:	714-619-8769

Provider Business Practice Location Address
First Line	:	11801 PIERCE ST
Second Line	:	251
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-4408
Country	:	US
Telephone Number	:	888-366-7088
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. LAUREN PHAN
Credential	:
Telephone Number	:	714-619-8766

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	05/01/2012

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