Provider Demographics
NPI:1447733431
Name:NEIGHBORHOOD CARE HOSPICE
Entity Type:Organization
Organization Name:NEIGHBORHOOD CARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SURENTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-335-8223
Mailing Address - Street 1:1447 E COLORADO ST STE A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1595
Mailing Address - Country:US
Mailing Address - Phone:818-937-9977
Mailing Address - Fax:174-721-5673
Practice Address - Street 1:1447 E COLORADO ST STE A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1595
Practice Address - Country:US
Practice Address - Phone:818-937-9977
Practice Address - Fax:174-721-5673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based