SHERMAN OAKS HOSPICE CARE GROUP INC. NPI 1790061828

NPI Information

NPI: 1790061828
Provider Name: SHERMAN OAKS HOSPICE CARE GROUP INC.

Doing Business As: GRACELAND HOSPICE CARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2060662

Address:
360 W CERRITOS AVE
ANAHEIM, CA
ZIP 92805
Phone: (714) 733-1333
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SHERMAN OAKS HOSPICE CARE GROUP INC. is a hospice care community based in Anaheim, CA. SHERMAN OAKS HOSPICE CARE GROUP INC. NPI is 1790061828. The provider is registered as an organization entity type.
The provider Is Doing Business As Graceland Hospice Care.

The provider's business location address is:

360 W CERRITOS AVE
ANAHEIM, CA
ZIP 92805-550
Phone: (714) 733-1333
Fax: (714) 733-1334

The provider's authorized official is Michele Lovato .
The authorized official title is Ceo and has the following contact phone number (714) 733-1333.

The CLIA number assigned to this NPI record is 05D2060662 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2011 and was last updated on 11/27/2018.

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		550002042	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5019540	MEDICAID	CALIFORNIA

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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