Provider Demographics
NPI:1669930160
Name:COMPLETE CARE HOSPICE,INC.
Entity type:Organization
Organization Name:COMPLETE CARE HOSPICE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-248-7501
Mailing Address - Street 1:9100 WILSHIRE BLVD STE 540E
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3470
Mailing Address - Country:US
Mailing Address - Phone:805-248-7501
Mailing Address - Fax:805-248-7322
Practice Address - Street 1:9100 WILSHIRE BLVD STE 540E
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3470
Practice Address - Country:US
Practice Address - Phone:805-248-7501
Practice Address - Fax:805-248-7322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based