Provider Demographics
NPI:1598366841
Name:EVERCLEAR HOSPICE AND PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:EVERCLEAR HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELBA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILITANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-932-2588
Mailing Address - Street 1:25835 NARBONNE AVE STE 277
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-3074
Mailing Address - Country:US
Mailing Address - Phone:424-600-9227
Mailing Address - Fax:424-600-8468
Practice Address - Street 1:25835 NARBONNE AVE STE 277
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-3074
Practice Address - Country:US
Practice Address - Phone:310-894-9401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based