Provider Demographics
NPI:1275351488
Name:CARING HOME COTTAGE
Entity type:Organization
Organization Name:CARING HOME COTTAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/LICENSEE
Authorized Official - Prefix:MS
Authorized Official - First Name:FLOR
Authorized Official - Middle Name:ANGELI
Authorized Official - Last Name:LOBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-571-4073
Mailing Address - Street 1:43728 GRANDPARK AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-1755
Mailing Address - Country:US
Mailing Address - Phone:661-802-4263
Mailing Address - Fax:
Practice Address - Street 1:43728 GRANDPARK AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-1755
Practice Address - Country:US
Practice Address - Phone:661-802-4263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility