Provider Demographics
NPI:1083969711
Name:A-1 HEALTHCARE MANAGEMENT
Entity Type:Organization
Organization Name:A-1 HEALTHCARE MANAGEMENT
Other - Org Name:A-1 HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BINITA
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRIVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-400-0244
Mailing Address - Street 1:5011 ARGOSY AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1002
Mailing Address - Country:US
Mailing Address - Phone:714-379-3074
Mailing Address - Fax:714-379-3075
Practice Address - Street 1:5011 ARGOSY AVE STE 5
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1002
Practice Address - Country:US
Practice Address - Phone:714-379-3074
Practice Address - Fax:714-379-3075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002129251G00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551726Medicare Oscar/Certification