Provider Demographics
NPI:1659840494
Name:CONEJO HOSPICE CARE, INC
Entity Type:Organization
Organization Name:CONEJO HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NARINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-317-9535
Mailing Address - Street 1:80 WOOD RD STE 304A
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-8312
Mailing Address - Country:US
Mailing Address - Phone:805-702-5047
Mailing Address - Fax:805-834-1121
Practice Address - Street 1:80 WOOD RD STE 304A
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-8312
Practice Address - Country:US
Practice Address - Phone:805-702-5047
Practice Address - Fax:805-834-1121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-22
Last Update Date:2018-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based