Provider Demographics
NPI:1891177044
Name:MY CARE PROFESSIONALS
Entity type:Organization
Organization Name:MY CARE PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRATI
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:877-877-5558
Mailing Address - Street 1:6060 W MANCHESTER AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4200
Mailing Address - Country:US
Mailing Address - Phone:877-877-5558
Mailing Address - Fax:877-667-7642
Practice Address - Street 1:6060 W MANCHESTER AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4200
Practice Address - Country:US
Practice Address - Phone:877-877-5558
Practice Address - Fax:877-667-7642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care