COUNTRY CLUB HOSPICE INC. NPI 1215543434

NPI Information

NPI: 1215543434
Provider Name: COUNTRY CLUB HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3089 N LIMA ST STE D
BURBANK, CA
ZIP 91504
Phone: (747) 200-4175
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COUNTRY CLUB HOSPICE, INC. is a hospice care community based in Burbank, CA. COUNTRY CLUB HOSPICE, INC. NPI is 1215543434. The provider is registered as an organization entity type.

The provider's business location address is:

3089 N LIMA ST STE D
BURBANK, CA
ZIP 91504-013
Phone: (747) 200-4175
Fax: (747) 273-0558

The provider's authorized official is David Gabrielyan .
The authorized official title is Ceo and has the following contact phone number (747) 200-4175.

The enumeration date for this NPI number is 9/22/2020 and was last updated on 2/4/2021.

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

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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