1659674547 NPI number — HIGH QUALITY HOSPICE CARE

Table of content: (NPI 1659674547)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659674547 NPI number — HIGH QUALITY HOSPICE CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HIGH QUALITY HOSPICE CARE
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:
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:
1659674547
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/23/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21707 HAWTHORNE BLVD
Provider Second Line Business Mailing Address:
SUITE 304
Provider Business Mailing Address City Name:
TORRANCE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90503-7009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-543-4679
Provider Business Mailing Address Fax Number:
310-543-4690

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21707 HAWTHORNE BLVD
Provider Second Line Business Practice Location Address:
SUITE 304
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90503-7009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-543-4679
Provider Business Practice Location Address Fax Number:
310-543-4690
Provider Enumeration Date:
12/15/2010

Additional Information

Authorized Official

Authorized Official Last Name:
LAGLEVA
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
L
Authorized Official Title or Position:
ADM/DPCS
Authorized Official Telephone Number:
310-543-4679

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  550001759 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 551672 . This is a "MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com