Provider Demographics
NPI:1053086603
Name:MAGNUS HOSPICE CORP.
Entity Type:Organization
Organization Name:MAGNUS HOSPICE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DPCS
Authorized Official - Prefix:
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:D
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-717-4413
Mailing Address - Street 1:20944 SHERMAN WAY STE 212
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3643
Mailing Address - Country:US
Mailing Address - Phone:323-717-4413
Mailing Address - Fax:323-366-4357
Practice Address - Street 1:20944 SHERMAN WAY STE 212
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3643
Practice Address - Country:US
Practice Address - Phone:323-717-4413
Practice Address - Fax:323-366-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-14
Last Update Date:2021-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based