Provider Demographics
NPI:1447778394
Name:SPIRIT HEALTHCARE HOSPICE, INC.
Entity Type:Organization
Organization Name:SPIRIT HEALTHCARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARDASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-258-3273
Mailing Address - Street 1:30941 AGOURA RD STE 112
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4617
Mailing Address - Country:US
Mailing Address - Phone:805-232-7111
Mailing Address - Fax:805-367-4077
Practice Address - Street 1:30941 AGOURA RD.
Practice Address - Street 2:SUITE 112
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361
Practice Address - Country:US
Practice Address - Phone:805-232-7111
Practice Address - Fax:805-367-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based