Provider Demographics
NPI:1922404144
Name:COVENANT HOSPICE & PALLIATIVE CARE OF CALIFORNIA, INC.
Entity Type:Organization
Organization Name:COVENANT HOSPICE & PALLIATIVE CARE OF CALIFORNIA, INC.
Other - Org Name:COVENANT HOSPICE OF CA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-531-7101
Mailing Address - Street 1:14534 BLYTHE ST STE A
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6006
Mailing Address - Country:US
Mailing Address - Phone:626-531-7101
Mailing Address - Fax:626-531-7102
Practice Address - Street 1:14534 BLYTHE ST STE A
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-6006
Practice Address - Country:US
Practice Address - Phone:626-531-7101
Practice Address - Fax:626-531-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-16
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based