SUPREME HOSPICE INC NPI 1700336211

NPI Information

SUPREME HOSPICE INC is a hospice care community based in Valencia, CA. SUPREME HOSPICE INC NPI is 1700336211. The provider is registered as an organization entity type.
The provider Other Name Is Supreme Hospice And Palliative Care.

The provider's business location address is:

28312 CONSTELLATION RD
SUITE B
VALENCIA, CA
ZIP 91355-078
Phone: (661) 388-4328
Fax: (661) 402-2337

The provider's authorized official is Carolyn P Romero .
The authorized official title is Adminstrator and has the following contact phone number (818) 268-8813.

The CLIA number assigned to this NPI record is 05D2105033 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 3/24/2017.

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:

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