Provider Demographics
NPI:1295318913
Name:CARE UNITED HOSPICE SERVICES INC
Entity type:Organization
Organization Name:CARE UNITED HOSPICE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:CORNELIUS
Authorized Official - Middle Name:DAMASO
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-706-6151
Mailing Address - Street 1:14241 FIRESTONE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-5534
Mailing Address - Country:US
Mailing Address - Phone:646-706-6151
Mailing Address - Fax:
Practice Address - Street 1:14241 FIRESTONE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-5534
Practice Address - Country:US
Practice Address - Phone:646-706-6151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based