Provider Demographics
NPI:1629662382
Name:LA CASA CARE HOSPICE INC
Entity Type:Organization
Organization Name:LA CASA CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:YRRIBARI ARBILDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:767-264-0770
Mailing Address - Street 1:6309 VAN NUYS BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6613
Mailing Address - Country:US
Mailing Address - Phone:767-264-0770
Mailing Address - Fax:267-937-6246
Practice Address - Street 1:6309 VAN NUYS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6613
Practice Address - Country:US
Practice Address - Phone:767-264-0770
Practice Address - Fax:267-937-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based