Provider Demographics
NPI:1831571538
Name:A MEADOW HOSPICE CARE, LLC
Entity type:Organization
Organization Name:A MEADOW HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:PRADO
Authorized Official - Suffix:III
Authorized Official - Credentials:RN
Authorized Official - Phone:619-754-3725
Mailing Address - Street 1:2141 S EL CAMINO REAL STE J
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6219
Mailing Address - Country:US
Mailing Address - Phone:619-754-3725
Mailing Address - Fax:619-330-3524
Practice Address - Street 1:2141 S EL CAMINO REAL STE J
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6219
Practice Address - Country:US
Practice Address - Phone:619-754-3725
Practice Address - Fax:619-330-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based