Provider Demographics
NPI:1376817973
Name:AMERICADE PALLIATIVE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:AMERICADE PALLIATIVE HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-728-8160
Mailing Address - Street 1:420 N MONTEBELLO BLVD.,
Mailing Address - Street 2:#205
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4263
Mailing Address - Country:US
Mailing Address - Phone:323-728-8160
Mailing Address - Fax:323-728-8319
Practice Address - Street 1:420 N MONTEBELLO BLVD.,
Practice Address - Street 2:#205
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4263
Practice Address - Country:US
Practice Address - Phone:323-728-8160
Practice Address - Fax:323-728-8319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based