Provider Demographics
NPI:1568716264
Name:C V HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:C V HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLCOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-809-5789
Mailing Address - Street 1:12140 ARTESIA BLVD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4058
Mailing Address - Country:US
Mailing Address - Phone:562-809-5789
Mailing Address - Fax:562-924-4263
Practice Address - Street 1:12140 ARTESIA BLVD
Practice Address - Street 2:SUITE 214
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-4058
Practice Address - Country:US
Practice Address - Phone:562-809-5789
Practice Address - Fax:562-924-4263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C V HOSPICE CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based