Provider Demographics
NPI:1073993085
Name:FAITH HOSPICE CARE LLC
Entity Type:Organization
Organization Name:FAITH HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABOO
Authorized Official - Middle Name:
Authorized Official - Last Name:NASAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-277-1156
Mailing Address - Street 1:7710 BALBOA AVE
Mailing Address - Street 2:SUITE 329
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2269
Mailing Address - Country:US
Mailing Address - Phone:858-277-1156
Mailing Address - Fax:
Practice Address - Street 1:7710 BALBOA AVE
Practice Address - Street 2:SUITE 329
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2269
Practice Address - Country:US
Practice Address - Phone:858-277-1156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based