Provider Demographics
NPI:1548549579
Name:TOUR SENIOR HOMES
Entity type:Organization
Organization Name:TOUR SENIOR HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MACISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-470-9928
Mailing Address - Street 1:2132 E BERMUDA ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-2105
Mailing Address - Country:US
Mailing Address - Phone:714-470-9928
Mailing Address - Fax:888-652-6062
Practice Address - Street 1:2132 E BERMUDA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90814-2105
Practice Address - Country:US
Practice Address - Phone:714-470-9928
Practice Address - Fax:888-652-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care