Provider Demographics
NPI:1457759656
Name:QUALITY HEALTHCARE HOSPICE
Entity Type:Organization
Organization Name:QUALITY HEALTHCARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAVASH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-863-5290
Mailing Address - Street 1:6360 VAN NUYS BLVD
Mailing Address - Street 2:240
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2638
Mailing Address - Country:US
Mailing Address - Phone:888-863-5290
Mailing Address - Fax:888-679-6711
Practice Address - Street 1:6360 VAN NUYS BLVD
Practice Address - Street 2:240
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2638
Practice Address - Country:US
Practice Address - Phone:888-863-5290
Practice Address - Fax:888-679-6711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based