Provider Demographics
NPI:1578291431
Name:VIOLETS GARDEN HOME HEALTH AND PALLIATIVE CARE SERVICES
Entity Type:Organization
Organization Name:VIOLETS GARDEN HOME HEALTH AND PALLIATIVE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANNETTA
Authorized Official - Middle Name:LENISE
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-679-5900
Mailing Address - Street 1:11616 HAWTHORNE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2359
Mailing Address - Country:US
Mailing Address - Phone:310-591-9504
Mailing Address - Fax:310-679-9500
Practice Address - Street 1:11616 HAWTHORNE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2359
Practice Address - Country:US
Practice Address - Phone:310-591-9504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health