HEAVENLY HOSPICE CARE INC NPI 1699193052

NPI Information

NPI: 1699193052
Provider Name: HEAVENLY HOSPICE CARE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2158814

Address:
514 COMMERCE AVE STE G
PALMDALE, CA
ZIP 93551
Phone: (818) 666-4015
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HEAVENLY HOSPICE CARE INC is a hospice care community based in Palmdale, CA. HEAVENLY HOSPICE CARE INC NPI is 1699193052. The provider is registered as an organization entity type.

The provider's business location address is:

514 COMMERCE AVE STE G
PALMDALE, CA
ZIP 93551-799
Phone: (818) 666-4015
Fax: (661) 206-8415

The provider's authorized official is Bernadette Tagulao .
The authorized official title is Coo and has the following contact phone number (818) 666-4015.

The CLIA number assigned to this NPI record is 05D2158814 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 2/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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