Provider Demographics
NPI:1407411903
Name:PERPETUAL HELP HOSPICE, INC.
Entity Type:Organization
Organization Name:PERPETUAL HELP HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY CHILES
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARICAN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:818-325-6065
Mailing Address - Street 1:7108 DE SOTO AVE STE 204B
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3209
Mailing Address - Country:US
Mailing Address - Phone:818-325-6065
Mailing Address - Fax:
Practice Address - Street 1:7108 DE SOTO AVE # 204B
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3209
Practice Address - Country:US
Practice Address - Phone:310-895-6694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based