Provider Demographics
NPI:1720656440
Name:INTOUCH HOSPICE CARE LLC
Entity Type:Organization
Organization Name:INTOUCH HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EFREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAJO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:408-409-5583
Mailing Address - Street 1:4701 PATRICK HENRY DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-1819
Mailing Address - Country:US
Mailing Address - Phone:408-409-5583
Mailing Address - Fax:
Practice Address - Street 1:4701 PATRICK HENRY DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-1819
Practice Address - Country:US
Practice Address - Phone:408-409-5583
Practice Address - Fax:408-650-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based