# CARELINE HOMECARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699217935
- **Authorized official:** MR. PETER SAN AGUSTIN MONTINOLA (PRESIDENT)
- **Authorized official phone:** (949) 215-9130

## Contact information

- **Practice address:** 23591 EL TORO RD, SUITE 265, LAKE FOREST, CA 92630-4774
- **Practice address phone:** (949) 215-9130
- **Practice address fax:** (949) 305-9752
- **Mailing address:** 23591 EL TORO RD, SUITE 265, LAKE FOREST, CA 92630-4774
- **Mailing address phone:** (949) 215-9130
- **Mailing address fax:** (949) 305-9752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 304700038 | CA | Yes |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 11/16/2016