Provider Demographics
NPI:1578132817
Name:CONCIERGE HOSPICE CARE
Entity Type:Organization
Organization Name:CONCIERGE HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-297-8389
Mailing Address - Street 1:900 EUCLID ST APT 304
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-3058
Mailing Address - Country:US
Mailing Address - Phone:909-297-8389
Mailing Address - Fax:855-706-2022
Practice Address - Street 1:22916 LYONS AVE STE 201
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2756
Practice Address - Country:US
Practice Address - Phone:909-297-8389
Practice Address - Fax:855-706-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based