Provider Demographics
NPI:1770860470
Name:ALL AMERICAN HOSPICE, LLC
Entity Type:Organization
Organization Name:ALL AMERICAN HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-216-6491
Mailing Address - Street 1:332 BUSTLETON PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-7856
Mailing Address - Country:US
Mailing Address - Phone:215-322-5256
Mailing Address - Fax:215-322-5307
Practice Address - Street 1:332 BUSTLETON PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7856
Practice Address - Country:US
Practice Address - Phone:215-322-5256
Practice Address - Fax:215-322-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care