Provider Demographics
NPI:1457642977
Name:BURNET HOSPICE CARE, INCORPORATION
Entity Type:Organization
Organization Name:BURNET HOSPICE CARE, INCORPORATION
Other - Org Name:RELIANCE HOSPICE AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-446-4493
Mailing Address - Street 1:19750 S. VERMONT AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-9900
Mailing Address - Country:US
Mailing Address - Phone:323-446-4493
Mailing Address - Fax:323-544-4987
Practice Address - Street 1:18000 STUDEBAKER RD STE 110
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2684
Practice Address - Country:US
Practice Address - Phone:323-446-4493
Practice Address - Fax:323-544-4987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based