Provider Demographics
NPI:1376967224
Name:DIGNICARE HOSPICE SERVICES LLC
Entity Type:Organization
Organization Name:DIGNICARE HOSPICE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:VALMEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-391-6110
Mailing Address - Street 1:520 E WILSON AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4374
Mailing Address - Country:US
Mailing Address - Phone:818-975-0685
Mailing Address - Fax:818-839-0279
Practice Address - Street 1:520 E WILSON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4374
Practice Address - Country:US
Practice Address - Phone:818-975-0685
Practice Address - Fax:818-839-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based