Provider Demographics
NPI:1003499963
Name:AMAZING CARE HOSPICE
Entity Type:Organization
Organization Name:AMAZING CARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOGOL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-326-8395
Mailing Address - Street 1:1000 PASEO CAMARILLO STE 126
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-0755
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 PASEO CAMARILLO STE 126
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-0755
Practice Address - Country:US
Practice Address - Phone:805-482-5055
Practice Address - Fax:805-482-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based