Organization Name: | CAREGIVERS ETC. |
NPI Number: | 1255573473 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER LYNN LOOYSEN (OWNER) |
Mailing Address: | 33515 Pembrook Pl Yucaipa |
State: | CA US |
Postal Code: | 923993431 |
Phone Number: | 9095577496 |
Fax Number: | 9097906503 |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 04/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |