Provider Demographics
NPI:1497365233
Name:UNITED HEALTHCARE HOSPICE, INC
Entity Type:Organization
Organization Name:UNITED HEALTHCARE HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BENEDICTO
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:213-973-4087
Mailing Address - Street 1:18747 SHERMAN WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4000
Mailing Address - Country:US
Mailing Address - Phone:818-674-4863
Mailing Address - Fax:
Practice Address - Street 1:18747 SHERMAN WAY STE 101
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4000
Practice Address - Country:US
Practice Address - Phone:818-674-4863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based