Provider Demographics
NPI:1184296741
Name:M & R HOSPICE AND PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:M & R HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-770-0152
Mailing Address - Street 1:16200 VENTURA BLVD STE 415
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4903
Mailing Address - Country:US
Mailing Address - Phone:661-840-5335
Mailing Address - Fax:661-840-5741
Practice Address - Street 1:16200 VENTURA BLVD STE 415
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4903
Practice Address - Country:US
Practice Address - Phone:661-840-5335
Practice Address - Fax:661-840-5741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based