Provider Demographics
NPI:1447555032
Name:CAREMERIDIAN, LLC
Entity type:Organization
Organization Name:CAREMERIDIAN, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-688-5251
Mailing Address - Street 1:18A JOURNEY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-5342
Mailing Address - Country:US
Mailing Address - Phone:949-263-6632
Mailing Address - Fax:949-261-0457
Practice Address - Street 1:6512 E LUDLOW DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3311
Practice Address - Country:US
Practice Address - Phone:480-699-3731
Practice Address - Fax:480-699-6796
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL MENTOR HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral DisturbancesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAL8149HOtherAZ DHS