Provider Demographics
NPI:1013563923
Name:HEALING CARE HOSPICE LANCASTER, LLC
Entity Type:Organization
Organization Name:HEALING CARE HOSPICE LANCASTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHROUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLSHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-570-3838
Mailing Address - Street 1:8255 FIRESTONE BLVD STE 403
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4856
Mailing Address - Country:US
Mailing Address - Phone:323-988-1245
Mailing Address - Fax:323-933-5706
Practice Address - Street 1:44300 LOWTREE AVE STE 116
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4166
Practice Address - Country:US
Practice Address - Phone:323-988-1245
Practice Address - Fax:323-933-5706
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALING CARE HOSPICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based