Provider Demographics
NPI:1518599299
Name:FAITH, HOPE & LOVE HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:FAITH, HOPE & LOVE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TABALON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:442-888-5505
Mailing Address - Street 1:4959 PALO VERDE ST STE 201B-1
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2343
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4959 PALO VERDE ST STE 201B-1
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2343
Practice Address - Country:US
Practice Address - Phone:442-888-5505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based