Provider Demographics
NPI:1437415767
Name:CARE ALLIANCE HOSPICE INC
Entity Type:Organization
Organization Name:CARE ALLIANCE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-322-6497
Mailing Address - Street 1:17941 VENTURA BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3619
Mailing Address - Country:US
Mailing Address - Phone:818-322-6497
Mailing Address - Fax:
Practice Address - Street 1:17941 VENTURA BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3619
Practice Address - Country:US
Practice Address - Phone:818-322-6497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based