Provider Demographics
NPI:1962142216
Name:CARE.LIFE, INC.
Entity type:Organization
Organization Name:CARE.LIFE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EZRA
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-681-2438
Mailing Address - Street 1:1955 IRONTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-6215
Mailing Address - Country:US
Mailing Address - Phone:801-559-7390
Mailing Address - Fax:
Practice Address - Street 1:1955 IRONTON BLVD
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84606-6215
Practice Address - Country:US
Practice Address - Phone:801-559-7390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care