Provider Demographics
NPI:1346523123
Name:HERITAGE HOSPICE INC
Entity Type:Organization
Organization Name:HERITAGE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:213-382-8577
Mailing Address - Street 1:3325 WILSHIRE BLVD STE 1245
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1728
Mailing Address - Country:US
Mailing Address - Phone:213-382-8577
Mailing Address - Fax:
Practice Address - Street 1:3325 WILSHIRE BLVD STE 1245
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1728
Practice Address - Country:US
Practice Address - Phone:213-382-8577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based