Provider Demographics
NPI:1497847479
Name:FAMILY HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:FAMILY HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-674-3344
Mailing Address - Street 1:255 N. EL CIELO RD
Mailing Address - Street 2:STE 300
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6986
Mailing Address - Country:US
Mailing Address - Phone:760-674-3344
Mailing Address - Fax:760-674-3372
Practice Address - Street 1:255 N. EL CIELO RD
Practice Address - Street 2:STE 300
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6986
Practice Address - Country:US
Practice Address - Phone:760-674-3344
Practice Address - Fax:760-674-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC01798FMedicaid
CA051798Medicare Oscar/Certification