Provider Demographics
NPI:1285048462
Name:CARE CHOICE, LLC
Entity type:Organization
Organization Name:CARE CHOICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PRAXEDES SEDY
Authorized Official - Middle Name:BERNARDO
Authorized Official - Last Name:DEMESA
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:209-406-6610
Mailing Address - Street 1:10740 OAKWILDE AVE
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-9249
Mailing Address - Country:US
Mailing Address - Phone:209-406-6610
Mailing Address - Fax:209-955-0106
Practice Address - Street 1:5400 STINE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-2825
Practice Address - Country:US
Practice Address - Phone:661-398-8802
Practice Address - Fax:661-837-8940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA157206839310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility