Provider Demographics
NPI:1609117985
Name:CARE FIRST HOSPICE SERVICES INC
Entity Type:Organization
Organization Name:CARE FIRST HOSPICE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRISCILA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PUNSALAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-722-5816
Mailing Address - Street 1:1135 E ROUTE 66 STE 207
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-3778
Mailing Address - Country:US
Mailing Address - Phone:626-722-5816
Mailing Address - Fax:877-289-9698
Practice Address - Street 1:1135 E ROUTE 66 STE 207
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-3778
Practice Address - Country:US
Practice Address - Phone:626-722-5816
Practice Address - Fax:877-289-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3500771251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC3500771OtherENTITY NUMBER