Provider Demographics
NPI:1083404834
Name:CARE MATTEO LLC
Entity type:Organization
Organization Name:CARE MATTEO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEHLA
Authorized Official - Middle Name:ROSE RAMOS
Authorized Official - Last Name:GABRIEL-QUIZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-270-4452
Mailing Address - Street 1:598 PIERPONT DR
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3109
Mailing Address - Country:US
Mailing Address - Phone:714-486-1236
Mailing Address - Fax:
Practice Address - Street 1:598 PIERPONT DR
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3109
Practice Address - Country:US
Practice Address - Phone:714-486-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility