Care Dimensions LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

060000912 Issued in CA

Legal business name

CARE DIMENSIONS LLC

Practice address

16162 Beach Blvd
Suite 100
Huntington Beach, CA 92647-3807

Phone

(714) 619-8766

Fax

(714) 439-9603

NPI assigned

May 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauren T Phan

Title

President

Phone

(714) 619-8766

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Home health agency certification: CCN 058370

Legal name

CARE DIMENSIONS LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 28, 2007

Last certification

Jan 4, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 8, 2005 in CA

Enrollment address

3401 W Sunflower Ave
Ste 200
Santa Ana, CA 92704-6945

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Care Dimensions LLC

  • Home Health Agency
  • Burbank, CA
  • NPI 1356511307

  6406868074

  Same PAC ID

Listed as

Care Dimensions LLCCCN 058370

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Feb 28, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Care Dimensions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Care Dimensions LLC

  • Community Based Hospice Care Agency
  • Riverside, CA
  • NPI 1073871620
  NPD tax ID
• Care Dimensions LLC

  • Home Health Agency
  • Burbank, CA
  • NPI 1356511307
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Edward Fields, DO

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1457387482
  Medicare reassignment NPD
• Maria Eissel Mercado Velasco, FNP-C

  • Family Nurse Practitioner
  • Duarte, CA
  • NPI 1558085068
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1629023056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W SUNFLOWER AVE # 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046945",
            "telephone_number": "714-619-8766",
            "fax_number": "714-439-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16162 BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473807",
            "telephone_number": "714-619-8766",
            "fax_number": "714-439-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DIMENSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-619-8766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "060000912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629023056",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Cardenas
• Vanessa Jane Cardin, MA
• Wendy Cardinal-Nix, CMT
• Madison Gianna Marie Cardullo, RDN
• Care Behavioral Concepts
• Carissa Karner
• Samuel Alan Carlis, D.O.
• Melanie Lynn Carlone
• Gary David Carlsen, DDS
• Michael Lloyd Carlson, RPT

• Home Health Agency in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.