1043236169 NPI number — EMANATE HEALTH HOSPICE

Table of content: (NPI 1043236169)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043236169 NPI number — EMANATE HEALTH HOSPICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMANATE HEALTH HOSPICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043236169
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 840146
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90084-0146
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-814-0333
Provider Business Mailing Address Fax Number:
626-732-3196

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
820 N PHILLIPS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST COVINA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-859-2266
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DE LA O
Authorized Official First Name:
SALLY
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT DIRECTOR, BUSINESS SERVIC
Authorized Official Telephone Number:
626-732-3105

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HHA07736F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZZ22890Z . This is a "BLUE SHIELD PROV#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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