Provider Demographics
NPI:1508119090
Name:R.C. HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:R.C. HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:NERSISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-858-1440
Mailing Address - Street 1:3043 GOLD CANAL DR STE 220
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6393
Mailing Address - Country:US
Mailing Address - Phone:916-858-1440
Mailing Address - Fax:916-635-1707
Practice Address - Street 1:3043 GOLD CANAL DR STE 220
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6393
Practice Address - Country:US
Practice Address - Phone:916-858-1440
Practice Address - Fax:916-635-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-21
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55002729251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6419940Medicaid