Provider Demographics
NPI:1053027607
Name:LIVING IN PLACE CAREGIVERS LLC
Entity type:Organization
Organization Name:LIVING IN PLACE CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CSCM
Authorized Official - Phone:559-518-8440
Mailing Address - Street 1:25649 ROAD 108
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-9355
Mailing Address - Country:US
Mailing Address - Phone:559-802-8188
Mailing Address - Fax:
Practice Address - Street 1:25649 ROAD 108
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-9355
Practice Address - Country:US
Practice Address - Phone:559-802-8188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA544700011OtherDEPARTMENT OF SOCIAL SERVICES