Provider Demographics
NPI:1598947541
Name:CALIFORNIA HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:CALIFORNIA HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-966-2008
Mailing Address - Street 1:740 E ARROW HWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-2144
Mailing Address - Country:US
Mailing Address - Phone:626-966-2008
Mailing Address - Fax:626-966-2506
Practice Address - Street 1:740 E ARROW HWY
Practice Address - Street 2:SUITE D
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-2144
Practice Address - Country:US
Practice Address - Phone:626-966-2008
Practice Address - Fax:626-966-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000255251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551537Medicare Oscar/Certification