Provider Demographics
NPI:1548917214
Name:NATIONAL CAREGIVER RESOURCE FOUNDATION CORP
Entity type:Organization
Organization Name:NATIONAL CAREGIVER RESOURCE FOUNDATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-209-7753
Mailing Address - Street 1:111 FASHION LN UNIT 250
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3306
Mailing Address - Country:US
Mailing Address - Phone:714-209-7753
Mailing Address - Fax:866-646-1488
Practice Address - Street 1:111 FASHION LN UNIT 250
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3306
Practice Address - Country:US
Practice Address - Phone:714-209-7753
Practice Address - Fax:866-646-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty