Provider Demographics
NPI:1699179879
Name:NEW MADISON HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:NEW MADISON HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-703-4144
Mailing Address - Street 1:1641 W MAIN ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1900
Mailing Address - Country:US
Mailing Address - Phone:626-703-4144
Mailing Address - Fax:844-273-5313
Practice Address - Street 1:1641 W MAIN ST
Practice Address - Street 2:SUITE 216
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1900
Practice Address - Country:US
Practice Address - Phone:626-703-4144
Practice Address - Fax:844-273-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-16
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based