Provider Demographics
NPI:1992531305
Name:D' CAESAR'S CARE HOME LLC
Entity type:Organization
Organization Name:D' CAESAR'S CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-229-6098
Mailing Address - Street 1:4460 MARLENA CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-2004
Mailing Address - Country:US
Mailing Address - Phone:323-229-6098
Mailing Address - Fax:
Practice Address - Street 1:3856 JEWEL AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3234
Practice Address - Country:US
Practice Address - Phone:702-683-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home