Provider Demographics
NPI:1710392402
Name:PERPETUAL CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:PERPETUAL CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-583-1070
Mailing Address - Street 1:1985 YOSEMITE AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-5200
Mailing Address - Country:US
Mailing Address - Phone:058-583-1070
Mailing Address - Fax:805-583-1071
Practice Address - Street 1:1985 YOSEMITE AVE STE 250
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-5200
Practice Address - Country:US
Practice Address - Phone:805-583-1070
Practice Address - Fax:805-583-1071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-22
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based