Provider Demographics
NPI:1043091580
Name:ASSISTED LIVING CARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:ASSISTED LIVING CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:BASE
Authorized Official - Last Name:NAYPA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-588-5375
Mailing Address - Street 1:11265 VARDON ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-7454
Mailing Address - Country:US
Mailing Address - Phone:951-769-1911
Mailing Address - Fax:
Practice Address - Street 1:11265 VARDON ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-7454
Practice Address - Country:US
Practice Address - Phone:951-769-1911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty