Provider Demographics
NPI:1225619653
Name:KOBBY'S HOSPICE CARE, INC
Entity Type:Organization
Organization Name:KOBBY'S HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADWOA SERWA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI NYARKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-325-2005
Mailing Address - Street 1:6400 E WASHINGTON BLVD STE 116A
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-1820
Mailing Address - Country:US
Mailing Address - Phone:323-325-2005
Mailing Address - Fax:877-515-1617
Practice Address - Street 1:6400 E WASHINGTON BLVD STE 116A
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-1820
Practice Address - Country:US
Practice Address - Phone:323-325-2005
Practice Address - Fax:877-515-1617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies