Provider Demographics
NPI:1265056311
Name:KIND HEART HOSPICE AND PALLIATIVE CARE INCORPORATED
Entity type:Organization
Organization Name:KIND HEART HOSPICE AND PALLIATIVE CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DILUVAN
Authorized Official - Middle Name:SHABBAN
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-674-5325
Mailing Address - Street 1:160 S OLD SPRINGS RD STE 280
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-1279
Mailing Address - Country:US
Mailing Address - Phone:949-674-5326
Mailing Address - Fax:714-948-5911
Practice Address - Street 1:160 S OLD SPRINGS RD STE 280
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-1279
Practice Address - Country:US
Practice Address - Phone:949-674-5326
Practice Address - Fax:714-948-5911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based