1841517331 NPI number — C@A HOSPICE, INC.

Table of content: (NPI 1841517331)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841517331 NPI number — C@A HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C@A HOSPICE, INC.
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:
1841517331
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 WEST BROADWAY
Provider Second Line Business Mailing Address:
SUITE 1170
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91210-1217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-691-7201
Provider Business Mailing Address Fax Number:
818-301-5012

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 WEST BROADWAY
Provider Second Line Business Practice Location Address:
SUITE 1170
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91210-1217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-691-7201
Provider Business Practice Location Address Fax Number:
818-301-5012
Provider Enumeration Date:
04/23/2010

Additional Information

Authorized Official

Authorized Official Last Name:
CATBAGAN
Authorized Official First Name:
ADOLFO
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
818-691-7201

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  550001614 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 385H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 550001614 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com