Provider Demographics
NPI:1871838276
Name:A-1 HOSPICE CARE INC
Entity Type:Organization
Organization Name:A-1 HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OMOWUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BALOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-279-2818
Mailing Address - Street 1:217 E ALAMEDA AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2621
Mailing Address - Country:US
Mailing Address - Phone:818-237-2700
Mailing Address - Fax:818-237-2701
Practice Address - Street 1:217 E ALAMEDA AVE STE 306
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2621
Practice Address - Country:US
Practice Address - Phone:818-237-2700
Practice Address - Fax:818-237-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based