Provider Demographics
NPI:1366817033
Name:UNIFIED HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:UNIFIED HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA ROSARIO
Authorized Official - Middle Name:CHARISSE
Authorized Official - Last Name:ABELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-279-1181
Mailing Address - Street 1:7077 ORANGEWOOD AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-1439
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7077 ORANGEWOOD AVE STE 120
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-1439
Practice Address - Country:US
Practice Address - Phone:562-279-1181
Practice Address - Fax:562-279-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2020-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based