Provider Demographics
NPI:1679045892
Name:LA HOSPICE SERVICES, INC.
Entity Type:Organization
Organization Name:LA HOSPICE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADUEKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-498-0002
Mailing Address - Street 1:6464 W SUNSET BLVD STE 945
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90028-8018
Mailing Address - Country:US
Mailing Address - Phone:323-498-0002
Mailing Address - Fax:323-372-3509
Practice Address - Street 1:6464 W SUNSET BLVD STE 945
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90028-8018
Practice Address - Country:US
Practice Address - Phone:323-498-0002
Practice Address - Fax:323-372-3509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based