Provider Demographics
NPI:1134506421
Name:SIMPLICITY CARE, INC.
Entity Type:Organization
Organization Name:SIMPLICITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MAXIMO
Authorized Official - Middle Name:JOSON
Authorized Official - Last Name:CABALAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:818-697-4504
Mailing Address - Street 1:10523 BURBANK BLVD
Mailing Address - Street 2:111
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2233
Mailing Address - Country:US
Mailing Address - Phone:818-697-4504
Mailing Address - Fax:818-697-4506
Practice Address - Street 1:10523 BURBANK BLVD
Practice Address - Street 2:111
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2233
Practice Address - Country:US
Practice Address - Phone:818-697-4504
Practice Address - Fax:818-697-4506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based