Provider Demographics
NPI:1568753358
Name:SALUTE HOSPICE INC
Entity Type:Organization
Organization Name:SALUTE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-638-8522
Mailing Address - Street 1:25835 NARBONNE AVE STE 280C
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-7206
Mailing Address - Country:US
Mailing Address - Phone:818-638-8522
Mailing Address - Fax:818-230-9004
Practice Address - Street 1:25835 NARBONNE AVE STE 280C
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-7206
Practice Address - Country:US
Practice Address - Phone:818-638-8522
Practice Address - Fax:818-230-9004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550002127OtherSTATE LICENSE
CA1568753358Medicaid