Provider Demographics
NPI:1720393754
Name:SUNSET HOSPICE CARE LLC
Entity Type:Organization
Organization Name:SUNSET HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LUCIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FADIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-683-4745
Mailing Address - Street 1:1110 N WESTERN AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1087
Mailing Address - Country:US
Mailing Address - Phone:818-683-4547
Mailing Address - Fax:818-845-1956
Practice Address - Street 1:1110 N WESTERN AVE STE 205
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1087
Practice Address - Country:US
Practice Address - Phone:818-683-4547
Practice Address - Fax:818-845-1956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-14
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient