Provider Demographics
NPI:1104190883
Name:IW CARE CONNECTION, INC.
Entity Type:Organization
Organization Name:IW CARE CONNECTION, INC.
Other - Org Name:CARE CONNECTION HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-322-6497
Mailing Address - Street 1:13715 BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5040
Mailing Address - Country:US
Mailing Address - Phone:818-779-2112
Mailing Address - Fax:253-559-2112
Practice Address - Street 1:13715 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91401-5040
Practice Address - Country:US
Practice Address - Phone:818-779-2112
Practice Address - Fax:253-559-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based