Provider Demographics
NPI:1669012100
Name:FAITH KAY HOSPICE LLC
Entity Type:Organization
Organization Name:FAITH KAY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR/DPCS
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-831-6891
Mailing Address - Street 1:4959 PALO VERDE ST # 103A-10
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2331
Mailing Address - Country:US
Mailing Address - Phone:323-831-6891
Mailing Address - Fax:833-982-0943
Practice Address - Street 1:4959 PALO VERDE ST # 103A-10
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2331
Practice Address - Country:US
Practice Address - Phone:323-831-6891
Practice Address - Fax:833-982-0943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based