Provider Demographics
NPI:1033467386
Name:AMERICAN HOSPICE CARE INC
Entity Type:Organization
Organization Name:AMERICAN HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-304-7542
Mailing Address - Street 1:930 OAK ST
Mailing Address - Street 2:STE B
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-1060
Mailing Address - Country:US
Mailing Address - Phone:661-304-7542
Mailing Address - Fax:
Practice Address - Street 1:930 OAK ST
Practice Address - Street 2:STE B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-1060
Practice Address - Country:US
Practice Address - Phone:661-304-7542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based