Provider Demographics
NPI:1407230436
Name:KAGA HOSPICE, INC
Entity Type:Organization
Organization Name:KAGA HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-939-6759
Mailing Address - Street 1:7151 LINCOLN AVE
Mailing Address - Street 2:SUITE P
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7151 LINCOLN AVE
Practice Address - Street 2:SUITE P
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-4613
Practice Address - Country:US
Practice Address - Phone:800-939-6759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based