Provider Demographics
NPI:1326661182
Name:BENEFICIAL HOSPICE AND PALLIATIVE CARE
Entity Type:Organization
Organization Name:BENEFICIAL HOSPICE AND PALLIATIVE CARE
Other - Org Name:BENEFICIAL HOSPICE AND PALLIATIVE CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT /CEO
Authorized Official - Prefix:
Authorized Official - First Name:GARETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAFIRMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-918-0102
Mailing Address - Street 1:7002 MOODY ST STE 205B
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1182
Mailing Address - Country:US
Mailing Address - Phone:818-918-0102
Mailing Address - Fax:
Practice Address - Street 1:7002 MOODY ST STE 205B
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1182
Practice Address - Country:US
Practice Address - Phone:714-931-9586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550007495OtherCALIFORNIA DEPARTMENT OF PUBLIC HEALTH LICENSE