Provider Demographics
NPI:1407272495
Name:FAMILY CARE HOSPICE INC
Entity Type:Organization
Organization Name:FAMILY CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FERDINAND
Authorized Official - Middle Name:ACEBAR
Authorized Official - Last Name:MANZANA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:559-275-4400
Mailing Address - Street 1:5627 N FIGARDEN DR STE 112
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-3453
Mailing Address - Country:US
Mailing Address - Phone:559-275-4400
Mailing Address - Fax:559-860-0111
Practice Address - Street 1:5627 N FIGARDEN DR STE 112
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-3453
Practice Address - Country:US
Practice Address - Phone:559-275-4400
Practice Address - Fax:559-860-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based