Provider Demographics
NPI:1356923494
Name:MD HOSPICE AND PALLIATIVE CARE INC
Entity type:Organization
Organization Name:MD HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CFO, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHIRAG
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAVSAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-291-0027
Mailing Address - Street 1:3504 W MAGNOLIA BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2911
Mailing Address - Country:US
Mailing Address - Phone:747-291-0027
Mailing Address - Fax:747-291-0046
Practice Address - Street 1:3504 W MAGNOLIA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2911
Practice Address - Country:US
Practice Address - Phone:747-291-0027
Practice Address - Fax:747-291-0046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based