Provider Demographics
NPI:1033700935
Name:BLESSED CARE PROVIDERS 4 HOSPICE AND PALLIATIVE SERVICES INC.
Entity Type:Organization
Organization Name:BLESSED CARE PROVIDERS 4 HOSPICE AND PALLIATIVE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:PISCASIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-363-7813
Mailing Address - Street 1:14736 VALLEY BLVD STE A-11
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91746-3252
Mailing Address - Country:US
Mailing Address - Phone:626-363-7813
Mailing Address - Fax:
Practice Address - Street 1:14736 VALLEY BLVD STE A-11
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91746-3252
Practice Address - Country:US
Practice Address - Phone:626-363-7813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based