Provider Demographics
NPI:1912338518
Name:HOSPICE AND HOME CARE, INC
Entity Type:Organization
Organization Name:HOSPICE AND HOME CARE, INC
Other - Org Name:GUARDIAN ANGEL HOSPICE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PONOMARENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-550-8079
Mailing Address - Street 1:980 ENCHANTED WAY STE 210
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-0914
Mailing Address - Country:US
Mailing Address - Phone:805-500-8079
Mailing Address - Fax:805-581-0286
Practice Address - Street 1:980 ENCHANTED WAY STE 210
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-0914
Practice Address - Country:US
Practice Address - Phone:805-500-8079
Practice Address - Fax:805-581-0286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based