Provider Demographics
NPI:1245828086
Name:ASSURANCE HOSPICE AND PALLIATIVE CARE
Entity type:Organization
Organization Name:ASSURANCE HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVET
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-434-1874
Mailing Address - Street 1:13658 HAWTHORNE BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-5822
Mailing Address - Country:US
Mailing Address - Phone:213-434-1874
Mailing Address - Fax:
Practice Address - Street 1:13658 HAWTHORNE BLVD STE 212
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-5822
Practice Address - Country:US
Practice Address - Phone:213-434-1874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based