Provider Demographics
NPI:1952933558
Name:LOVE AND CARE HOSPICE SERVICE INC
Entity type:Organization
Organization Name:LOVE AND CARE HOSPICE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYBALKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-801-4112
Mailing Address - Street 1:5868 SEPULVEDA BLVD #214
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411
Mailing Address - Country:US
Mailing Address - Phone:818-849-6226
Mailing Address - Fax:
Practice Address - Street 1:5658 SEPULVEDA BLVD STE 214
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91411-2951
Practice Address - Country:US
Practice Address - Phone:818-849-6226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based