Provider Demographics
NPI:1497420418
Name:SPOTLIGHT HOSPICE CARE
Entity Type:Organization
Organization Name:SPOTLIGHT HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAS TAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:SALLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-232-8737
Mailing Address - Street 1:10568 MAGNOLIA AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-5864
Mailing Address - Country:US
Mailing Address - Phone:714-232-8737
Mailing Address - Fax:714-242-0333
Practice Address - Street 1:10568 MAGNOLIA AVE STE 118
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-5864
Practice Address - Country:US
Practice Address - Phone:714-232-8737
Practice Address - Fax:714-242-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based