Provider Demographics
NPI:1689275430
Name:PRO-CHOICE HOSPICE, INC.
Entity Type:Organization
Organization Name:PRO-CHOICE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ILITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-605-1944
Mailing Address - Street 1:19634 VENTURA BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2966
Mailing Address - Country:US
Mailing Address - Phone:323-823-3222
Mailing Address - Fax:
Practice Address - Street 1:19634 VENTURA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2966
Practice Address - Country:US
Practice Address - Phone:818-605-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based