Provider Demographics
NPI:1972055663
Name:LIFE CARE MANAGEMENT GROUP LLC
Entity type:Organization
Organization Name:LIFE CARE MANAGEMENT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:SAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-577-2779
Mailing Address - Street 1:237 TOWN CTR W
Mailing Address - Street 2:SUITE 145
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-5075
Mailing Address - Country:US
Mailing Address - Phone:661-577-2779
Mailing Address - Fax:866-746-3471
Practice Address - Street 1:11520 JEFFERSON BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6141
Practice Address - Country:US
Practice Address - Phone:667-577-2779
Practice Address - Fax:866-746-3471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care