MEMORIAL HOSPICE CARE INC. NPI 1942781604

NPI Information

NPI: 1942781604
Provider Name: MEMORIAL HOSPICE CARE, INC.

Doing Business As: DYNAMIC HOSPICE CARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
14260 VENTURA BLVD STE 200B
SHERMAN OAKS, CA
ZIP 91423
Phone: (818) 464-2050
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MEMORIAL HOSPICE CARE, INC. is a hospice care community based in Sherman Oaks, CA. MEMORIAL HOSPICE CARE, INC. NPI is 1942781604. The provider is registered as an organization entity type.
The provider Is Doing Business As Dynamic Hospice Care.

The provider's business location address is:

14260 VENTURA BLVD STE 200B
SHERMAN OAKS, CA
ZIP 91423-734
Phone: (818) 464-2050
Fax: (818) 935-6687

The provider's authorized official is Ron Pardo .
The authorized official title is Ceo and has the following contact phone number (818) 464-2050.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 6/30/2021.

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

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	1942781604	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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