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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1639476856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE DIMENSIONS, LLC

Provider Business Mailing Address
First Line	:	3401 W SUNFLOWER AVE
Second Line	:	SUITE 200
City	:	SANTA ANA
State	:	CA
Zip	:	92704-6948
Country	:	US
Telephone Number	:	714-619-8766
Fax Number	:	714-439-9603

Provider Business Practice Location Address
First Line	:	11440 W BERNARDO CT
Second Line	:	SUITE 310
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-1641
Country	:	US
Telephone Number	:	888-366-7088
Fax Number	:	858-834-4084

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAUREN T PHAN
Credential	:
Telephone Number	:	714-619-8766

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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Directions to “CARE DIMENSIONS, LLC ” Practice Location

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