Provider Demographics
NPI:1558839811
Name:CARDEA HOSPICE AND PALLIATIVE CARE
Entity Type:Organization
Organization Name:CARDEA HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:VLADIMIRSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-938-8188
Mailing Address - Street 1:7217 CANBY AVE
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-3003
Mailing Address - Country:US
Mailing Address - Phone:818-206-8813
Mailing Address - Fax:
Practice Address - Street 1:7217 CANBY AVE
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-3003
Practice Address - Country:US
Practice Address - Phone:818-206-8813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based