Provider Demographics
NPI:1982200820
Name:UNITED ONE HOSPICE
Entity Type:Organization
Organization Name:UNITED ONE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-483-5011
Mailing Address - Street 1:5657 WILSHIRE BLVD STE 420
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3741
Mailing Address - Country:US
Mailing Address - Phone:323-483-5011
Mailing Address - Fax:323-483-5061
Practice Address - Street 1:5657 WILSHIRE BLVD STE 420
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3741
Practice Address - Country:US
Practice Address - Phone:323-483-5011
Practice Address - Fax:323-483-5061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based