Provider Demographics
NPI:1407452634
Name:OHANA HOSPICE AND PALLIATIVE CARE INC.
Entity Type:Organization
Organization Name:OHANA HOSPICE AND PALLIATIVE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:BADONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-922-2777
Mailing Address - Street 1:14640 VICTORY BLVD STE 214
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1623
Mailing Address - Country:US
Mailing Address - Phone:818-922-2777
Mailing Address - Fax:
Practice Address - Street 1:14640 VICTORY BLVD STE 214
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1623
Practice Address - Country:US
Practice Address - Phone:818-922-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2022-12-12
Deactivation Date:2022-02-07
Deactivation Code:
Reactivation Date:2022-08-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient