Provider Demographics
NPI:1477103075
Name:HOSEAH HOSPICE & PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:HOSEAH HOSPICE & PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:GIDEON
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-748-9959
Mailing Address - Street 1:250 E EASY ST STE 6A
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1769
Mailing Address - Country:US
Mailing Address - Phone:818-748-9959
Mailing Address - Fax:818-921-4418
Practice Address - Street 1:250 E EASY ST STE 6A
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1769
Practice Address - Country:US
Practice Address - Phone:818-748-9959
Practice Address - Fax:818-921-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based